Individual
KENNETH DEITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 E OLNEY AVE, SUITE 400, PHILA, PA 19120-2421
(215) 456-7000
(215) 254-2599
Mailing address
5501 OLD YORK RD, PHILA, PA 19141-3018
(215) 456-6679
(215) 456-8502
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS012659
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232664784
TAX ID #
PA
Enumeration date
06/05/2006
Last updated
11/11/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us