Kelly M Pendrick, DR AUDIOLOGY | |
8872 Professional Dr, Cadillac, MI 49601-8481 | |
(231) 775-9398 | |
(231) 775-9398 |
Full Name | Kelly M Pendrick |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 8872 Professional Dr, Cadillac, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093780819 | NPI | - | NPPES |
467422080 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 01090379 (Michigan) | Primary |
Provider Name | Robert Kendell D.o.,p.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548562978 PECOS PAC ID: 4981884806 Enrollment ID: O20110210000313 |
Mailing Address | Practice Location Address |
---|---|
Kelly M Pendrick, DR AUDIOLOGY 8872 Professional Dr, Cadillac, MI 49601-8481 Ph: (231) 775-9398 | Kelly M Pendrick, DR AUDIOLOGY 8872 Professional Dr, Cadillac, MI 49601-8481 Ph: (231) 775-9398 |
Amie Marie Ruppert, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 8872 Professional Dr, Suite A, Cadillac, MI 49601 Phone: 231-775-9398 Fax: 231-775-2717 | |
Sharon L Blackburn, DR. AUDIOLOGY Audiologist Medicare: Not Enrolled in Medicare Practice Location: 8872 Professional Dr, Cadillac, MI 49601 Phone: 231-775-9398 Fax: 231-775-9398 | |
Dr. Annie Fratzke, AU.D CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1909 N Mitchell St, Cadillac, MI 49601 Phone: 231-775-4401 |