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Individual

DR. KENNETH IHENETU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, DABCC, FACB

Contact information

Practice address
785 DELAWARE AVE FL 1, DELMAR, NY 12054-9713
(361) 944-9554
Mailing address
785 DELAWARE AVE, FL1, DELMAR, NY 12054
(361) 944-9554

Taxonomy

Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
IHENK1
NY

Other

Enumeration date
03/16/2016
Last updated
03/16/2016
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