Individual
DR. KENNETH WAYNE HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
HEART AND VASCULAR CENTER, 605 SHARON RD., BEAVER, PA 15009
(724) 773-4502
(724) 770-7906
Mailing address
HEART AND VASCULAR CENTER, 605 SHARON RD., BEAVER, PA 15009
(724) 773-4502
(724) 770-7906
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
34007859H
OH
207RC0000X
Cardiovascular Disease Physician
Primary
OS007312E
PA
207RI0011X
Interventional Cardiology Physician
34007859
OH
207RI0011X
Interventional Cardiology Physician
OS007312E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01393216
—
PA
Enumeration date
06/22/2005
Last updated
11/16/2023
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