| NPI | 1962882886 |
|---|---|
| Other Name | KENDALL W WANNAMAKER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2021-01183) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY TP302) |
| 207R00000X Internal Medicine (Licence: SC LL38304) | |
| 207W00000X Ophthalmology (Licence: OH 35136292) | |
| 207WX0107X Ophthalmology Retina Specialist (Licence: NC 2021-01183) | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2023-12-20 |