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Individual

KENNETH PALMER

Active
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Individual

KENNETH PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J6199
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
286361501
TX
05
286361502
TX
05
286361505
TX
01
8FE212
BLUE CROSS BLUE SHIELD
TX
01
8FX344
BLUE CROSS BLUE SHIELD
TX
01
P00923494
RR MEDICARE
Enumeration date
07/31/2006
Last updated
08/15/2016
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