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Individual

DR. KENNETH REED SHROYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
BST9, ROOM 140, DEPARTMENT OF PATHOLOGY, STONY BROOK UNIVERSITY MEDICAL CENTER, STONY BROOK, NY 11794-8691
(631) 444-3069
(631) 444-3424
Mailing address
BST9, ROOM 140, DEPARTMENT OF PATHOLOGY, STONY BROOK UNIVERSITY MEDICAL CENTER, STONY BROOK, NY 11794-8691
(631) 444-3069
(631) 444-3424

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
29153
CO

Other

Enumeration date
07/18/2006
Last updated
10/24/2007
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