Individual
DR. KEVIN BARRY WENTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3130 GRANDVIEW RD BLDG A, HANOVER, PA 17331-9134
(717) 316-2441
Mailing address
2782 HEATHER DR, YORK, PA 17402-8850
(717) 741-2747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS006658L
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS006658L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001198857
—
PA
Enumeration date
02/07/2006
Last updated
02/01/2022
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