Individual
MR. KENNETH JOSEPH TREZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCTMB LMT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5253
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5253
LICENCE NUMBER
NM
Enumeration date
04/14/2007
Last updated
07/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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