Kendall R Roehl MD PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

KENDALL R ROEHL MD PLLC

Practice address

450 W Medical Center Blvd Ste 202
Webster, TX 77598-4229

Phone

(409) 766-0936

NPI assigned

Apr 1, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kendall Renee Roehl, MD

Title

Sole Member

Phone

(409) 766-0936

Specialties & licenses 1

Addresses

Other names 1

• Infinity Plastic Surgery Doing business as

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1780212829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 PRAIRIE VW",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775398321",
            "telephone_number": "409-766-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD STE 202",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984229",
            "telephone_number": "409-766-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL R ROEHL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "ROEHL",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "409-766-0936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinity Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• F Adam Kawley, M.D.
• Syed Ali Fahad Kazmi, MD
• Ashley Caroline Keel
• Hailey Keith, RBT
• Kaley Geroux Kemp, AUD
• Carolyn Kenney
• Judy Faye Kennon, OTA
• Thomas William Kessinger, M.D.
• Jameela Fatima Khaja, PHARM.D.
• Mahvish Khalid, MD

• Plastic Surgery Physician in Webster, TX
• Providers in Webster, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.