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Individual

KENT N LEIFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
ME24381
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AETNA 4028111
AETNA INSURANCE
FL
Enumeration date
09/13/2005
Last updated
10/04/2011
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