Kenneth R Durrwachter Md Pc

NPI 1275586281 - Family Medicine - 207Q00000X

NPI Details
NPI 1275586281
Enumeration Date 05/19/2006
Last Updated 01/13/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH R KENNETH
Position OWNER
Phone (570) 601-6230
Fax (570) 601-6232
Practice Location
1705 WARREN AVE
SUITE 208
WILLIAMSPORT PA, 17701-2647, US
Phone (570) 601-6230
Fax (570) 601-6232
Business Location
1705 WARREN AVE
SUITE 208
WILLIAMSPORT PA, 17701-2647, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number MD045039L
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According to our database, Kenneth R Durrwachter Md Pc NPI is 1275586281, taxonomy code is 207Q00000X and license number is MD045039L, license state is located at Pennsylvania. Kenneth R Durrwachter Md Pc physically located at 1705 Warren Ave, Williamsport PA, 17701-2647. NPI Number 1033115704 has the healthcare provider type.

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1275586281 NPI number is provided on an as is basis without warranty of any kind. 1275586281 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth R Durrwachter Md Pc are for informational purposes only.