Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH ANDRE MARK, M.D.
Active Sole ProprietorKENNETH ANDRE MARK, M.D. is a Obesity Medicine healthcare provider located in SOUTHAMPTON, New York. NPI 1538199310 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · SOUTHAMPTON, NY
Registration Details
- NPI Number
- 1538199310
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 4, 2006 (20.140812706095 yrs)
- Last Updated
- Sep 12, 2012
- Licenses
-
204164 (NY)204164 (NY)204164 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
365 COUNTY ROAD 39ASUITE 14SOUTHAMPTON, NY, 119685284Browse NY providers · Browse ZIP 11968
- Phone
- 6312830002
- Fax
- 6312831932
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Dermatology
- Additional Specialty
- Procedural Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.