| NPI | 1740398510 |
|---|---|
| Professional Name | KENNETH GARY SANFORD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD27802) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME83634) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2017-05-03 |