Doctor Name: | KENRIC TURINGAN ABAN |
NPI Number: | 1336218023 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A97448 |
Business Practice Address: | 2325 Aegean Ter Pensacola, FL - 325035854 |
Business Phone Number: | 3107705349 |
Business Fax Number: | |
Mailing Address: | 2325 Aegean Ter, PENSACOLA |
State: | FL |
Postal Code: | 325035854 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A97448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |