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Individual
KEM YENAL
Active
Individual
KEM YENAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD051919L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001540483
—
PA
01
—
0842407000
INDEPENDENCE BLUE CROSS
PA
01
—
15271
BRAVO HEALTH
PA
01
—
30011521
KEYSTONE MERCY HEALTH
PA
01
—
3041266
AETNA HMO
PA
01
—
3Y7137
HEALTH NET
PA
01
—
450479
COVENTRY HEALTH AMERICA
PA
01
—
4602164
AEETNA PPO
PA
01
—
809776
HIGHMARK BLUE SHIELD
PA
01
—
P00083356
RAIL ROAD MEDICARE
PA
01
—
P00159973
RAILROAD MEDICARE
PA
Enumeration date
12/15/2005
Last updated
11/01/2013
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