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Individual

DR. JOSEPH KENOYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
665 WINTER ST SE, SALEM, OR 97301-3919
(503) 561-5634
Mailing address
PO BOX 2505, SALEM, OR 97308-2505
(888) 828-3198

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD18683
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
064923
MARION POLK CHP
05
064923
OR
01
50911
WORK COMP
05
8363681
WA
01
A026
CHAMPUS
01
F84107
PROVIDENCE
01
M400709
PACIFIC SOURCE
05
XPY186732
CA
Enumeration date
08/16/2006
Last updated
12/19/2007
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