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Individual
KEVIN CLARK WORLEY
Active
Individual
KEVIN CLARK WORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
M2207
TX
207VM0101X
Maternal & Fetal Medicine Physician
Primary
M2207
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178632905
—
TX
01
—
207866101
FIRSTCARE
TX
01
—
8FZ590
BCBS TX
TX
Enumeration date
09/08/2006
Last updated
04/19/2017
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