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1770739492
KENNETH BOYD BATES
SEYMOUR, IN
NPI
1770739492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10001207A)
Enumeration Date
2008-08-13
Last Update Date
2019-03-12
Business Address
Mr. KENNETH BOYD BATES PA-C
411 W TIPTON ST
SEYMOUR, IN 47274-2363
Phone number: 812-524-3311
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Mailing Address
Mr. KENNETH BOYD BATES PA-C
411 W TIPTON ST
SEYMOUR, IN 47274-2363
Phone number: 181-252-2234
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