Individual
KENNETH C SPENGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 ALUMNI DR, STE 301, EXETER, NH 03833-2128
(603) 778-7975
(603) 778-7964
Mailing address
PO BOX 655, EXETER, NH 03833-0655
(603) 778-7975
(603) 778-7964
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5533
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000559
—
NH
01
—
0104377Y0NH01
ANTHEM BS
—
01
—
0122210
AETNA
—
01
—
020336308
TAX ID#
—
01
—
0904133
UNITED HEALTHCARE
—
01
—
100833000
US DEPARTMENT OF LABOR
—
01
—
200007671
RAILROAD MEDICARE
—
01
—
4680
CIGNA NH
—
Enumeration date
11/14/2006
Last updated
09/22/2009
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