# DR. KENNETH ELI MANCHER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255348025
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 025678 | CT | Yes |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 05/31/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001070 | HEALTHNET | CT |
| 05 | — | 001256783 | — | CT |
| 01 | — | 010025678 | ANTHEM | CT |
| 01 | — | 0796894 | CIGNA | CT |
| 01 | — | 759954 | CONNECTICARE | CT |
| 01 | — | P402416 | OXFORD | CT |