Witterholt, Kenneth A

Witterholt, Kenneth A is an individual health care provider with primary practice located at 915 Old Fern Hill Rd Building B, Suite 201, West Chester PA 19380-4269. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Witterholt, Kenneth A can be contacted via phone (610) 436-6696.

Contact Information

Primary practice address
915 Old Fern Hill Rd Building B, Suite 201 West Chester PA 19380-4269
Phone: (610) 436-6696
Fax: (610) 430-6023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD044526L Pennsylvania

Profile Details

NPI number 1568431534
LBN Legal business name Witterholt, Kenneth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 18th, 2011 - about 14 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 1568431534 NPPES
Pennsylvania MEDICAID 0012483500003

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