Kendall Regional Urgent Care, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

KENDALL REGIONAL URGENT CARE, LLC

Practice address

10725 NW 58TH St
Doral, FL 33178-2801

Phone

(305) 629-9644

Fax

(305) 629-9630

NPI assigned

Oct 9, 2013

Organization subpart

No

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

Authorized official

Name

Sean Haber

Title

Authorized Official

Phone

(954) 767-5797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1871920769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782801",
            "telephone_number": "305-629-9644",
            "fax_number": "305-629-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782801",
            "telephone_number": "305-629-9644",
            "fax_number": "305-629-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL REGIONAL URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "954-767-5797"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keily Home Health Care Inc
• Monika Keller, LMT
• Krystle Kelly
• Sheree Kearnta Kelso, LPN
• Kendall Healthcare Group, LTD.
• Nicholas Kendall
• Jacob Russell Kenison
• Kerastase Service Center Corp.
• Ashley Keyes
• Keys Health Care Inc

• Emergency Medicine Physician in Doral, FL
• Providers in Doral, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.