Kenneth Wayne House DO

NPI 1043216393 - Internal Medicine - 207RC0000X

NPI Details
NPI 1043216393
Gender Male
Enumeration Date 06/22/2005
Last Updated 09/16/2015
Entity Type Individual
Active Over 12 years ago
Practice Location
605 SHARON RD
BEAVER PA, 15009-1919, US
Phone (724) 773-4502
Fax (724) 770-7906
Business Location
605 SHARON RD
BEAVER PA, 15009-1919, US
Phone (724) 773-4502
Fax (724) 770-7906
Toxanomy
Taxonomy Code 207RC0000X
License State Pennsylvania
License Number OS007312E
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According to our database, Dr. Kenneth Wayne House DO NPI is 1043216393, taxonomy code is 207RC0000X and license number is OS007312E, license state is located at Pennsylvania. Kenneth Wayne House DO physically located at 605 Sharon Rd, Beaver PA, 15009-1919. NPI Number Kenneth Wayne House DO has the Individual type.

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1043216393 NPI number is provided on an as is basis without warranty of any kind. 1043216393 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Wayne House DO are for informational purposes only.