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Individual

DR. PAUL FRANCIS KENWORTHY

Active
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Individual

DR. PAUL FRANCIS KENWORTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-0000975
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002551
—
VT
01
—
Y400189729
MEDICARE ID # ASSOCIATED WITH A REASSIGNMENT OF BENEFITS
VT
Enumeration date
04/30/2006
Last updated
03/17/2018
About Stedi
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