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Individual

KENNETH K LIAO

Active
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Individual

KENNETH K LIAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
42328
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
42328
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
S6233
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0554584
—
IA
05
—
090474100
—
MN
01
—
1031690
PREFERRED ONE
MN
01
—
142142
UCARE
MN
01
—
18-00014
MEDICA PRIMARY
MN
01
—
18-00070
MEDICA CHOICE
MN
01
—
224A2LI
BLUE CROSS BLUE SHIELD
MN
05
—
34260200
—
WI
01
—
506360
FAIRVIEW
MN
01
—
HP40342
HEALTH PARTNERS
MN
Enumeration date
09/15/2006
Last updated
05/03/2022
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