Provider Demographics
NPI:1518385657
Name:LAWRENCE, KENDALL MCCARTHY (MD)
Entity type:Individual
Prefix:
First Name:KENDALL
Middle Name:MCCARTHY
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:600 E MARSHALL ST STE 303
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4454
Mailing Address - Country:US
Mailing Address - Phone:610-738-2690
Mailing Address - Fax:610-738-2696
Practice Address - Street 1:3400 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4238
Practice Address - Country:US
Practice Address - Phone:215-662-2050
Practice Address - Fax:215-615-0829
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-05
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD459598208600000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery