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Individual

DR. KENNETH APOLLO MUSANA

Active
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Individual

DR. KENNETH APOLLO MUSANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101243775
VA
207R00000X
Internal Medicine Physician
44975
WI
207RG0100X
Gastroenterology Physician
0101243775
VA
207RG0100X
Gastroenterology Physician
Primary
C10025179
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34589400
WI
Enumeration date
09/23/2006
Last updated
02/20/2024
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