Individual
MR. KENNETH W DIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
95 LEONARD AVE, SUITE 401, WASHINGTON, PA 15301-3368
(724) 223-3528
(724) 223-3524
Mailing address
95 LEONARD AVE, SUITE 401, WASHINGTON, PA 15301-3368
(724) 223-3528
(724) 223-3524
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051062
PA
Other
Enumeration date
10/16/2012
Last updated
02/20/2017
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