DR. Kenneth A. Widom, M.D.

NPI #1497706154 in Danville, Pennsylvania

Provider Information

NPI Number: 1497706154
Entity Type: Individual
Name: DR. Kenneth A. Widom, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: May 15, 2006
Last Updated: Jul 16, 2020

Practice Location

Address: 100 N ACADEMY AVE
City: Danville
State: Pennsylvania
ZIP Code: 17822-2018
Phone: (570) 271-7149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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