Individual
KENNETH N KEPHART
Active
Individual
KENNETH N KEPHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
26265
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-04725
MEDICA-PRIMARY
MN
01
—
032003
FAIRVEW
MN
01
—
0628004
PREFERRED ONE
MN
01
—
100544
U CARE
MN
01
—
32G78KE
BCBS
MN
01
—
934694
ARAZID
—
01
—
HP16524
HEALTH PARTNERS
MN
Enumeration date
10/11/2006
Last updated
07/08/2007
Update your record
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