Individual
DR. KENNETH RUSSELL FEUER
Active
Individual
DR. KENNETH RUSSELL FEUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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