Provider Demographics
NPI:1356373476
Name:PRICE, KENDALL D (MD)
Entity type:Individual
Prefix:
First Name:KENDALL
Middle Name:D
Last Name:PRICE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1875 WOODWINDS DR
Mailing Address - Street 2:STE 220
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2298
Mailing Address - Country:US
Mailing Address - Phone:651-264-1500
Mailing Address - Fax:651-264-1646
Practice Address - Street 1:1875 WOODWINDS DR
Practice Address - Street 2:STE 220
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2298
Practice Address - Country:US
Practice Address - Phone:651-264-1500
Practice Address - Fax:651-264-1646
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MN48735207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology