Individual
DR. KENNETH R NEUFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
054836
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
328678
WELLCARE
GA
05
—
383428098B
—
GA
05
—
383428098D
—
GA
01
—
582209517
WORK COMP
GA
01
—
7806517
AETNA
GA
01
—
911549
BCBS
GA
01
—
911550
BCBS
GA
01
—
P00301618
RR MEDICARE
GA
Enumeration date
12/01/2005
Last updated
11/15/2013
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