Organization
KENION PODIATRY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUY SCOTT KENION DPM (PRESIDENT OF CORPORATION)
(610) 377-5544
Entity
Organization
Contact information
Practice address
1163 INTERCHANGE RD, LEHIGHTON, PA 18235-9068
(610) 377-5544
(610) 377-6744
Mailing address
1163 INTERCHANGE RD, LEHIGHTON, PA 18235-9068
(610) 377-5544
(610) 377-6744
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC002248L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03196300
BLUE CROSS
PA
01
—
090436
MEDICARE GROUP PROVIDER #
PA
01
—
90436
BLUE SHIELD
PA
Enumeration date
07/19/2006
Last updated
01/18/2008
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