Individual
DR. KENNETH RUSSELL FEUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9430 TURKEY LAKE RD, STE 206, ORLANDO, FL 32819-8015
(407) 851-5600
(407) 438-9585
Mailing address
3885 OAKWATER CIR, ORLANDO, FL 32806-6257
(407) 851-5600
(407) 438-9585
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME46704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061541200
—
FL
01
—
0624419
AETNA
FL
01
—
2900080
UNITED HEALTHCARE
FL
01
—
47753
BC/BS
FL
Enumeration date
02/23/2006
Last updated
10/21/2009
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