House, Kenneth Wayne

House, Kenneth Wayne is an individual health care provider with primary practice located at Heart And Vascular Center 605 Sharon Rd., Beaver PA 15009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. House, Kenneth Wayne can be contacted via phone (724) 773-4502.

Contact Information

Primary practice address
Heart And Vascular Center 605 Sharon Rd. Beaver PA 15009
Phone: (724) 773-4502
Fax: (724) 770-7906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 34007859 Ohio
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X OS007312E Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X OS007312E Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 34007859H Ohio

Profile Details

NPI number 1043216393
LBN Legal business name House, Kenneth Wayne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Nov 16th, 2023 - about 2 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 1043216393 NPPES
Pennsylvania MEDICAID 01393216

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