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Individual
DR. DAVID M NETHERTON
Active
Individual
DR. DAVID M NETHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-19846
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100163140C
—
KS
05
—
100416440A
—
KS
01
—
103093
BLUECROSS INDIVIDUAL
KS
01
—
110718
BLUECROSS GROUP
KS
01
—
621920
FIRSTGUARD
KS
01
—
P00035386
RAILROAD MEDICARE
KS
Enumeration date
06/11/2005
Last updated
10/17/2012
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