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Individual
MR. KENNETH EDWARD ZIGROSSER
Active
Individual
MR. KENNETH EDWARD ZIGROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002284
NY
363A00000X
Physician Assistant
Primary
PA9117585
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002284
MEDICAL LICENSE
NY
01
—
00553
LICENSE
WV
Enumeration date
01/19/2007
Last updated
12/18/2024
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