Individual
DR. KENNETH ARTHUR HOOSE JR.
Active
Individual
DR. KENNETH ARTHUR HOOSE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10962
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00098876A
—
GA
01
—
048575
BLUE SHIELD
GA
Enumeration date
04/03/2006
Last updated
02/28/2008
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