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Individual
MR. KENNETH R. SELIG
Active
Individual
MR. KENNETH R. SELIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
320446
NY
363A00000X
Physician Assistant
002803
CT
363A00000X
Physician Assistant
Primary
011748
NY
Other
Enumeration date
02/01/2008
Last updated
03/17/2018
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