Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENDRICK VILLANUEVA GO, MD
Active Sole ProprietorDR. KENDRICK VILLANUEVA GO, MD is a Family Medicine healthcare provider located in MC GUIRE AFB, New Jersey. NPI 1871128033 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MC GUIRE AFB, NJ
Registration Details
- NPI Number
- 1871128033
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2020 (6.2504756345563 yrs)
- Last Updated
- Oct 18, 2023
- Licenses
-
LL3497 (NV)MD-22328 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3458 NEELY RDMC GUIRE AFB, NJ, 086415312Browse NJ providers · Browse ZIP 08641
- Phone
- 6097549492
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.