Individual
KENNETH S VANEXAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3226 S ALAMEDA ST, CORPUS CHRISTI, TX 78404-2508
(361) 888-6684
(361) 888-6686
Mailing address
3226 REID DR, CORPUS CHRISTI, TX 78404-2552
(361) 853-4503
(361) 853-4454
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L2041
TX
Other
Enumeration date
09/12/2005
Last updated
07/08/2007
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