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Individual
DR. KENNETH M SEGAL
Active
Individual
DR. KENNETH M SEGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM00193
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0619880001
DME
RI
01
—
7194
BLUE CROSS
RI
05
—
9007194
—
RI
Enumeration date
04/28/2006
Last updated
11/02/2007
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