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Individual
KENNETH L. CORBIN
Active
Individual
KENNETH L. CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C38454
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810342925
PHCS
CA
01
—
00C384540
BLUE SHIELD
CA
05
—
00C384540
—
CA
01
—
019553
HEALTH NET
CA
01
—
1092253
GREAT WEST
CA
01
—
13175
FIRST HEALTH
CA
01
—
1452864
UNITED HEALTHCARE
CA
01
—
3595228
CIGNA
CA
01
—
44312
INTERPLAN
CA
01
—
4507543
AETNA
CA
01
—
90015756
PACIFICARE
CA
01
—
C38454
BLUE CROSS
CA
01
—
MCMG124300
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
09/26/2006
Last updated
02/09/2012
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