Individual
KENNETH L SAVAGE
Active
Individual
KENNETH L SAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME34752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039421100
—
FL
01
—
060013026
MEDICARE RR
FL
01
—
09039
BCBS OF FL
FL
01
—
113193885
CAQH
FL
01
—
269859500
MEDICAID GROUP
FL
01
—
4450864
CIGNA
FL
01
—
77940
MEDICARE GROUP ID
FL
01
—
CF1416
MEDICARE RR GROUP
FL
01
—
ME0034752
STATE LICENSE NUMBER
FL
Enumeration date
11/29/2005
Last updated
10/08/2009
Update your record
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