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General NPI Number Information
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NPI Number | 1740287291
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Entity Type | Individual
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Provider Name | KENNETH JOSEPH MCNAMEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 214 E ELM AVE SUITE 200
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City | MONROE
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State | MI
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Zip | 48162-2600
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Country | US
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Telephone | 734-243-9851
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Fax | 734-243-2527
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Provider Business Mailing Address
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Address Line | 211 HOLLYWOOD DR
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City | MONROE
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State | MI
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Zip | 48162-2636
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Country | US
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Telephone | 734-243-9851
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Fax | 734-243-2527
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | KM405342
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License Number State | MI
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