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Individual

KENNETH A NIZZA

Active
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Individual

KENNETH A NIZZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS013670
PA
208M00000X
Hospitalist Physician
OS013670
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1016821500001
PA
01
10168215001
AMERICHOICE
PA
01
1351474
AETNA HMO
PA
01
1892624
BCBS
PA
01
2757672000
BCBS
PA
01
30035928
KEYSTONE MERCY
PA
01
5398144
CIGNA
PA
01
7394821
AETNA
PA
Enumeration date
07/04/2006
Last updated
02/23/2026
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