Provider Demographics
NPI:1861602534
Name:KENDALL, LAURENCE HENRY (DC)
Entity type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:HENRY
Last Name:KENDALL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ACORN ST
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-7602
Mailing Address - Country:US
Mailing Address - Phone:781-321-6060
Mailing Address - Fax:781-321-6060
Practice Address - Street 1:2 ACORN ST
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-7602
Practice Address - Country:US
Practice Address - Phone:781-321-6060
Practice Address - Fax:781-321-6060
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA391111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor