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Individual
MICHAEL DEVON KOMMOR
Active
Individual
MICHAEL DEVON KOMMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
27861
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000652535
ANTHEM
KY
01
—
3770421000
PASSPORT ADVANTAGE
KY
01
—
50027652
PASSPORT
KY
05
—
64278617
—
KY
Enumeration date
01/30/2006
Last updated
12/07/2020
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