Individual
KENNETH A WITTERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 OLD FERN HILL RD, BUILDING B, SUITE 201, WEST CHESTER, PA 19380-4269
(610) 436-6696
(610) 430-6023
Mailing address
915 OLD FERN HILL RD, BUILDING B, SUITE 201, WEST CHESTER, PA 19380-4269
(610) 436-6696
(610) 430-6023
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD044526L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012483500003
—
PA
Enumeration date
03/14/2006
Last updated
01/18/2011
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