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Individual
KEN OBENSON
Active
Individual
KEN OBENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
01069391A
IN
207ZF0201X
Forensic Pathology Physician
01069391A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01069391A
IN
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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