Individual
DR. KENNETH BASSION II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
939 HORSHAM ROAD, MONTGOMERYVILLE, PA 18936-9610
(215) 368-3331
(215) 362-9117
Mailing address
939 HORSHAM RD, MONTGOMERYVILLE, PA 18936-9610
(215) 368-3331
(215) 362-9117
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002898L
PA
111NS0005X
Sports Physician Chiropractor
DC002898L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000196383
HIGHMARK / AMERIHEALTH
PA
01
—
0091774000
INDEPENDENCE BLUE SHIELD
PA
Enumeration date
06/16/2006
Last updated
05/02/2013
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