# DR. KENNETH MARCUS POEMOCEAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1881652592
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | N8028 | AR | Yes |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 10/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100096320A | — | OK |
| 01 | — | 100726240D | OK GROUP MEDICAID NUMBER | OK |
| 05 | — | 117997001 | — | AR |
| 05 | — | 202892501 | — | MO |
| 01 | — | 54175 | BCBS (AR) | AR |
| 01 | — | P00298552 | RAILROAD MEDICARE | AR |