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Individual
KENNETH FRUMKIN
Active
Individual
KENNETH FRUMKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0101046773
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0518Y
BLUE CROSS BLUE SHIELD NC
—
01
—
082480
BLUE CROSS BLUE SHIELD VA
VA
01
—
15853
OPTIMA
—
01
—
251490
MAMSI/MDIPA
—
01
—
3900570
OPTIMUM CHOICE
—
05
—
890518Y
—
NC
Enumeration date
08/12/2006
Last updated
07/08/2007
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