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Individual
TERRY DANIEL KOBER
Active
Individual
TERRY DANIEL KOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1440
KY
363A00000X
Physician Assistant
Primary
PA9105264
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013091300
—
FL
01
—
1440
STATE LICENSE
KY
01
—
K099660
MEDICARE PTAN
KY
01
—
PA9105264
STATE LICENSE
FL
Enumeration date
08/07/2012
Last updated
09/15/2021
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