Individual
MARY KENDALL RAGO
Active
Individual
MARY KENDALL RAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
22164
WV
207Y00000X
Otolaryngology Physician
35087146
OH
207Y00000X
Otolaryngology Physician
Primary
MD427007
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018523020001
—
PA
05
—
2634706
—
OH
05
—
3810004695
—
WV
01
—
P00289437
RR MEDICARE
OH
Enumeration date
02/09/2006
Last updated
12/16/2020
Update your record
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