Durrwachter, Kenneth Robert

Durrwachter, Kenneth Robert is an individual health care provider with primary practice located at 1705 Warren Ave Suite 208, Williamsport PA 17701-2647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Durrwachter, Kenneth Robert can be contacted via phone (570) 601-6230.

Contact Information

Primary practice address
1705 Warren Ave Suite 208 Williamsport PA 17701-2647
Phone: (570) 601-6230
Fax: (570) 601-6232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD045039L Pennsylvania

Profile Details

NPI number 1992702682
LBN Legal business name Durrwachter, Kenneth Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992702682 NPPES
Pennsylvania Other 1147510 CIGNA
Pennsylvania Other 5664476 CIGNA
Pennsylvania Other 721386 CIGNA
Pennsylvania Other 1279162 CIGNA
Pennsylvania Other 7420 CIGNA
Pennsylvania MEDICAID 0012837330009 CIGNA
Pennsylvania Other 002787 CIGNA
Pennsylvania Other F26620 CIGNA

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