Individual
DR. KENNETH JOSEPH HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
005683
NY
Other
Enumeration date
02/08/2006
Last updated
01/09/2013
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