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Individual

DR. KENNETH FRED WOERTHWEIN

Active
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Individual

DR. KENNETH FRED WOERTHWEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD012836E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000664038
—
PA
01
—
01450202
CAPITAL BLUE CROSS-WMG
PA
01
—
046628
HIGHMARK BLUE SHIELD
PA
01
—
1142412
AMERIHEALTH MERCY-WMG
PA
01
—
234118
MAMSI-WMG
PA
01
—
30042
JOHNS HOPKINS
PA
01
—
4265297
AETNA
PA
01
—
43185
GEISINGER
PA
01
—
542980
CAREFIRST MD BCBS
MD
01
—
81048
UNISON-WMG
PA
01
—
P002819
GATEWAY-WMG
PA
Enumeration date
07/17/2006
Last updated
01/29/2010
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