Kenneth A Hetzler M.D.

NPI 1083729966 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1083729966
Gender Male
Enumeration Date 08/20/2006
Last Updated 02/10/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
123 SUMMER ST
CENTER FOR BEHAVIORAL HEALTH
WORCESTER MA, 01608-1216, US
Phone (509) 363-5000
Fax
Business Location
123 SUMMER ST
CENTER FOR BEHAVIORAL HEALTH
WORCESTER MA, 01608-1216, US
Phone (509) 363-5000
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Massachusetts
License Number 59716
Remove 1083729966 NPI Number
 

According to our database, Dr. Kenneth A Hetzler M.D. NPI is 1083729966, taxonomy code is 2084P0800X and license number is 59716, license state is located at Massachusetts. Kenneth A Hetzler M.D. physically located at 123 Summer St, Worcester MA, 01608-1216. NPI Number Kenneth A Hetzler M.D. has the Individual type.

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1083729966 NPI number is provided on an as is basis without warranty of any kind. 1083729966 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth A Hetzler M.D. are for informational purposes only.