Individual
KENNETH BILLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
429 MANOR DR, EBENSBURG, PA 15931-4917
(814) 472-6060
Mailing address
429 MANOR DR, EBENSBURG, PA 15931-4917
(814) 472-6060
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
TEI001201
PA
363A00000X
Physician Assistant
Primary
MA057596
PA
Other
Enumeration date
08/02/2012
Last updated
06/03/2015
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