Individual
DR. KENNETH GEORGE TERKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 477-7090
(508) 477-7028
Mailing address
319 CAIRN RIDGE RD, EAST FALMOUTH, MA 02536-7928
(508) 737-6208
(815) 366-8186
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
160365
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2113121
—
MA
Enumeration date
05/23/2005
Last updated
06/05/2013
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