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Individual
KENNETH DOMINIC ABREO
Active
Individual
KENNETH DOMINIC ABREO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.06699R
LA
207RN0300X
Nephrology Physician
Primary
06699R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1351334
—
LA
Enumeration date
07/24/2006
Last updated
03/11/2024
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