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Individual

DR. KENNETH DONALD ELMAN

Active
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Individual

DR. KENNETH DONALD ELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G72087
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528075751
NPI INDIVIDUAL
CA
01
—
1952318461
GROUP NPI
CA
01
—
CB227752
PTAN
CA
01
—
CB227753
GROUP PTAN
CA
Enumeration date
08/01/2006
Last updated
04/22/2015
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