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Individual
KENT BRANSFORD
Active
Individual
KENT BRANSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G45162
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G451620
BCBS
—
05
—
00G451620
—
CA
01
—
GR0080140
MEDICAID GRUOP #
—
01
—
ZZZ13460Z
MEDICARE GROUP#
—
Enumeration date
05/25/2006
Last updated
01/15/2014
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