MR. KENNETH DODGE, RPAC
Physician Assistant
Active
Individual
NPI: 1952366601
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 0001001 (NY) |
| Physician Assistant - Medical | 363AM0700X | No | 0001001 (NY) |
Frequently Asked Questions
NPI 1952366601 is the National Provider Identifier for MR. KENNETH DODGE, RPAC, a Physician Assistant provider located in East Hampton, NY. This NPI was enumerated on April 18, 2006.
MR. KENNETH DODGE, RPAC practices at 200 PANTIAGO PLACE, STE J, East Hampton, NY 11937.
Quick Facts
- NPI
- 1952366601
- Type
- Individual
- Enumerated
- Apr 18, 2006
- Last Updated
- Apr 12, 2008
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