Individual
DR. KENNETH WALTER MINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14101 ROBCASTE RD, JACKSONVILLE, MD 21131-1471
(013) 455-5736
(443) 689-2175
Mailing address
14101 ROBCASTE RD, JACKSONVILLE, MD 21131-1471
(301) 455-5736
(443) 689-2175
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
D0028651
MD
Other
Enumeration date
08/15/2007
Last updated
01/25/2019
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