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Individual
KENNETH E NYMAN
Active
Individual
KENNETH E NYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G27055
CA
207RR0500X
Rheumatology Physician
G27055
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093804304
NPI
CA
01
—
1992894240
GROUP NPI
CA
Enumeration date
10/12/2006
Last updated
05/25/2010
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