Kendall Sports Medicine Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PO2374 Issued in FL

Legal business name

KENDALL SPORTS MEDICINE INC.

Practice address

6701 Sunset Dr
Suite 108
South Miami, FL 33143-4529

Phone

(305) 274-4242

Fax

(305) 662-5965

NPI assigned

Dec 4, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Marley Jill Bernstein

Title

Owner

Phone

(305) 274-4242

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1629409404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 SUNSET DR",
            "address_2": "SUITE 108",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434529",
            "telephone_number": "305-274-4242",
            "fax_number": "305-662-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 SUNSET DR",
            "address_2": "SUITE 108",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434529",
            "telephone_number": "305-274-4242",
            "fax_number": "305-662-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL SPORTS MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "MARLEY",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-274-4242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "PO2374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natian Kebede, MD
• Tamara Kelly
• Jesse Kemmerlin, D.O.
• Kemper Management LLC
• Kendall Podiatry & Sports Medicine Inc
• Sara Tate Kennedy, CRNA
• Debra G Kenward, M.D.
• Franz Kerdel, D.O.
• Stephanie Frances Kern, OTR/L
• Travis Edward Kerner, DC

• Specialist in South Miami, FL
• Providers in South Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.