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Kendal Lynn Richard

Anesthesiology

Allopathic & Osteopathic Physicians

4502 Medical Dr, San Antonio, TX 78229-4402

PECOS Enrollment

This provider is enrolled in PECOS as KENDAL RICHARD.

Based on the most recent information from CMS, provider Kendal Lynn Richard is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:51 AM.

Profile Details

Provider ID
1063859064
Provider Type
Individual
Full Name
Richard, Kendal Lynn
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/30/2013
Last Updated
4/5/2024

Contact Information

Practice Location

4502 Medical Dr, San Antonio, TX 78229-4402

(210) 358-4000

Unlisted Fax

Mailing Location

4502 Medical Dr, San Antonio, TX 78229-4402

(210) 358-4000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License U4614 Texas

Kendal Lynn Richard

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Wissa, Michael F.

Boyd, Emily Zayac

Gardner, Kelly Ann

Harden, Brooke Gibson

Ronald Gotanco P.A.

Mercer, Jett Joseph

Semper Anesthesia, Llc

Sachse, Kaylyn

Manohar, Crystal Murli

Solomon, Stuart