Individual
MR. KENNETH NEIL SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT, MS,OCS
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT966
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034720
ANTHEM
ME
01
—
048994
ANTHEM
ME
01
—
1041390
AETNA
ME
05
—
277030099
—
ME
Enumeration date
06/02/2006
Last updated
08/30/2023
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