Michael Welt Kendall, DPM PHD

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

0890 Issued in TX

Practice address

702 Quail Creek Dr
Amarillo, TX 79124-1607

Phone

(806) 358-0448

Fax

(806) 358-4338

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1356343214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 QUAIL CREEK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241607",
            "telephone_number": "806-358-0448",
            "fax_number": "806-358-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 QUAIL CREEK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241607",
            "telephone_number": "806-358-0448",
            "fax_number": "806-358-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "MICHAEL",
        "middle_name": "WELT",
        "name_prefix": "Dr.",
        "credential": "DPM PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "0890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0897191-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Seth David Kelly, DC
• Olivia Breonna Kelly, DDS
• Audrey Deshaun Kemp, LVN
• Stephanie Lynn Kemp
• William James Kemp Jr., D.D.S.
• Mark Kendrick, RPH
• Chad Matthew Kennedy, M.D.
• Kyle Lee Kennedy, M.D.
• Owen G. Kennedy, RPH
• Kenneth J. Freeze, DC

• Foot Surgery Podiatrist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Foot Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.