Individual
BRUCE R. KENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
6213815-1204
UT
207RI0011X
Interventional Cardiology Physician
Primary
6213815-1204
UT
Other
Enumeration date
05/09/2006
Last updated
02/22/2010
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