Individual
DR. KENNETH L JUSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
629D LOWTHER RD, LEWISBERRY, PA 17339-9527
(717) 932-5200
(717) 932-3095
Mailing address
629D LOWTHER RD, LEWISBERRY, PA 17339-9527
(717) 932-5200
(717) 932-3095
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS015025
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024192490001
—
PA
05
—
523105100
—
MD
Enumeration date
09/30/2008
Last updated
01/18/2012
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