Organization
KENNETH L ABRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ABRAM DPM (OWNER PODIATRIST)
(740) 366-3316
Entity
Organization
Contact information
Practice address
843 N 21ST ST STE 107, NEWARK, OH 43055-2954
(740) 366-3316
(740) 366-0002
Mailing address
843 N 21ST ST STE 107, NEWARK, OH 43055-2954
(740) 366-3316
(740) 366-0002
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4685720002
DME- NEWARK OFFICE
OH
Enumeration date
10/14/2006
Last updated
07/15/2013
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