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Individual
DR. JOHN C KEDORA
Active
Individual
DR. JOHN C KEDORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M6692
TX
2086S0129X
Vascular Surgery Physician
Primary
M6692
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M6692
STATE LICENSE
TX
Enumeration date
05/22/2007
Last updated
09/01/2022
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