Individual
DR. KENNETH D WINOKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1817 S 2ND ST, PHILA, PA 19148
(215) 389-6120
(215) 389-1225
Mailing address
1817 S 2ND ST, PHILA, PA 19148
(215) 389-6120
(215) 389-1225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05003325L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07020622
—
PA
Enumeration date
11/06/2006
Last updated
09/19/2011
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