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Individual

DR. KEN M KORTHAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
601 ROCKMEAD DRIVE, KINGWOOD, TX 77339
(281) 359-5115
(281) 359-2835
Mailing address
7401 S. MAIN, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 794-3380

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F6836
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133091205
TX
Enumeration date
10/11/2005
Last updated
11/19/2008
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