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Individual
KEVIN MARK SENN
Active
Individual
KEVIN MARK SENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
183438
NY
2080P0006X
Developmental - Behavioral Pediatrics Physician
153312
OR
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
183438
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010162101
UNIVERA
—
01
—
000511836003
BC/BS
—
05
—
0018547990001
—
PA
05
—
01402900
—
NY
01
—
040426000235
FIDELIS
—
01
—
040426000240
FIDELIS
—
01
—
1205731
IHA
—
01
—
183438
LICENSE
NY
Enumeration date
04/24/2006
Last updated
01/11/2011
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