Organization · Type 2 NPI
Kendall P. Tabor, D.p.m
Foot & Ankle Surgery Podiatrist · Marquette, MI
NPI number
1053597914
Active
Practice location
1414 W Fair Ave, Ste 215
Marquette, MI 49855-2675
Fax (906) 225-7707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 5901001089 (MI) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5901001089 (MI) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1053597914
Kendall P. Tabor, D.p.m's National Provider Identifier is 1053597914, issued on Jan 10, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Marquette, MI. The record was last updated on Dec 20, 2011.