Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ian James Kendrick, MD

Individual provider Surgery Physician · NPI 1902126824

Ian James Kendrick, MD is a Family Practice in Evanston, Wyoming. Graduated from University of Utah School of Medicine in 2010, 16 years ago. Practices with Evanston Clinic Corp, a 25-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
16
Trained at
University of Utah School of Medicine
Licensed in
WY
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

190 Arrowhead Dr
Evanston, WY 82930-9266
Phone: (307) 783-8255
Fax: (307) 783-8167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 10155A (WY)
Surgery Physician Taxonomy 208600000X · Licence TL2981 (WY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902126824
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2010
Last updated in NPPESSeptember 21, 2015
Mailing address196 Arrowhead Dr 6, Evanston, WY 82930-8752

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Evanston Clinic Corp — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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