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Individual
DR. ROBERT E KENRICH
Active
Individual
DR. ROBERT E KENRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
POD
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPO0149
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
700238
—
AZ
01
—
86080015085259A148
TRIWEST
AZ
Enumeration date
12/07/2005
Last updated
10/30/2007
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