Individual
DR. KENNETH JOSEPH ZENKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 CEDAR AVENUE, SCRANTON, PA 18505-2882
(570) 346-6966
(570) 346-1847
Mailing address
75 LAKE SCRANTON ROAD, SCRANTON, PA 18505
(570) 348-0474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS025312L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009229680001
—
PA
01
—
170041
UNISON
PA
01
—
512943
UCCI
PA
Enumeration date
12/08/2006
Last updated
07/08/2007
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