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Individual
JAMES KENNEDY WALL
Active
Individual
JAMES KENNEDY WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A89820
CA
2086S0120X
Pediatric Surgery Physician
Primary
A89820
CA
Other
Enumeration date
11/20/2006
Last updated
04/29/2024
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