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Individual
KEVIN CHARLES PAISLEY
Active
Individual
KEVIN CHARLES PAISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2008016558
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1617926
—
AK
01
—
2008016558
MEDICAL LICENSE
MO
01
—
8162
ALASKA LICENSE
AK
Enumeration date
06/26/2008
Last updated
10/30/2014
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