Individual provider · Type 1 NPI
Kenny Iman, P.A.C.
Specialist · Salisbury, MD
NPI number
1295801173
Active
Practice location
111 Davis St
Salisbury, MD 21804-5032
Mailing address
4014 Oakland School Rd
Salisbury, MD 21804-2715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | C0003072 (MD) |
| Emergency Medicine Physician | 207P00000X | C50000664 (DE) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1295801173
Kenny Iman, P.A.C.'s National Provider Identifier is 1295801173, issued on Nov 24, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Salisbury, MD. The record was last updated on Mar 7, 2023.