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Individual
DR. KENNETH ALLEN WRITESEL
Active
Individual
DR. KENNETH ALLEN WRITESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34-004278
OH
207Q00000X
Family Medicine Physician
Primary
34.004278
OH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
34-004278
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224730
ANTHEM
OH
05
—
0667443
—
OH
01
—
202602
FEDERAL BLACK LUNG
OH
01
—
7300022
UNITED HEALTHCARE
OH
Enumeration date
03/27/2006
Last updated
02/11/2020
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