Provider Demographics
NPI:1255602876
Name:KENDALL HEALTHCARE GROUP, LTD.
Entity type:Organization
Organization Name:KENDALL HEALTHCARE GROUP, LTD.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:READ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-315-5979
Mailing Address - Street 1:11750 BIRD RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3530
Mailing Address - Country:US
Mailing Address - Phone:305-227-5500
Mailing Address - Fax:305-229-2444
Practice Address - Street 1:11750 BIRD RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3530
Practice Address - Country:US
Practice Address - Phone:305-227-5500
Practice Address - Fax:305-229-2444
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KENDALL HEALTHCARE GROUP, LTD.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-13
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
10S209Medicare Oscar/Certification