Individual
DR. KENNETH JAMES DORTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2429 BROWN ST, PHILADELPHIA, PA 19130-1930
(215) 236-4088
(215) 236-0755
Mailing address
209 CARR LN, SPRINGFIELD, PA 19064-3009
(610) 543-6488
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC003609L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014109700006
—
PA
Enumeration date
07/27/2006
Last updated
12/06/2007
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