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Individual
KENNETH EMCH
Active
Individual
KENNETH EMCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
290
WV
213E00000X
Podiatrist
Primary
36-00-2828
OH
213E00000X
Podiatrist
SC-00-3885
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000458128
HIGHMARK
—
05
—
01496133
—
PA
05
—
0940558
—
OH
01
—
1054389
WORKERS COMP
WV
01
—
4524850
AETNA
—
05
—
6420070-0099858-000
—
WV
Enumeration date
07/01/2005
Last updated
02/21/2019
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