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Individual
KENNETH T ABJELINA
Active
Individual
KENNETH T ABJELINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A64789
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A647890
BCBS
CA
05
—
00A647890
—
CA
Enumeration date
09/30/2005
Last updated
11/04/2016
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