Individual
DR. KENNETH WAYNE ALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-6501
(570) 271-6429
(570) 271-6854
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD 234981
NY
207Y00000X
Otolaryngology Physician
Primary
MD057543L
PA
Other
Enumeration date
03/24/2006
Last updated
08/30/2020
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