Organization
KENNETH J SABLE AND ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J SABLE D.C (OWNER' DOCTOR)
(301) 645-5390
Entity
Organization
Contact information
Practice address
3261 OLD WASHINGTON RD, SUITE 2010, WALDORF, MD 20602-3223
(301) 645-5390
(301) 645-6215
Mailing address
3261 OLD WASHINGTON RD, SUITE 2010, WALDORF, MD 20602-3223
(301) 645-5390
(301) 645-6215
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
S01765
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M440
BCBS MD'NAT#
MD
01
—
R726
BCBS DC'FED
MD
Enumeration date
05/24/2007
Last updated
10/25/2007
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