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Individual
DR. MARK JOSEPH EDMUNDS
Active
Individual
DR. MARK JOSEPH EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00294
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000490
—
KY
01
—
P00713506
RAILROAD MEDICARE
KY
Enumeration date
03/08/2006
Last updated
03/22/2016
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