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Individual
DR. KENNETH ROBERT DURRWACHTER
Active
Individual
DR. KENNETH ROBERT DURRWACHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD045039L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012837330009
—
PA
01
—
002787
FIRST PRIORITY HEALTH
PA
01
—
1147510
CIGNA
PA
01
—
1279162
UNITEDHEALTHCARE
PA
01
—
5664476
AETNA
PA
01
—
721386
HIGHMARK BLUE SHIELD
PA
01
—
7420
GEISINGER HEALTH PLAN
PA
01
—
F26620
HEALTHAMERICA
PA
Enumeration date
07/07/2005
Last updated
07/27/2021
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