Individual
DR. KENNETH B SNYDER
Active
Individual
DR. KENNETH B SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
113671
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132232001
—
AR
01
—
173098
MO BLUE SHIELD
MO
05
—
208886002
—
MO
01
—
81793
ARK BLUE SHIELD
AR
Enumeration date
02/02/2007
Last updated
09/01/2016
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