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Individual
KENNETH DONALD HAYGOOD
Active
Individual
KENNETH DONALD HAYGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K2341
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046531203
—
TX
05
—
046531205
—
TX
01
—
752616977042
TRICARE
TX
01
—
8DQ314
BCBS
TX
01
—
P01200574
RAIL ROAD
TX
Enumeration date
07/11/2005
Last updated
05/12/2014
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