Individual
DR. KENNETH G. MOLINERO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2315 MYRTLE ST STE L10, ERIE, PA 16502-4611
(814) 454-2401
(814) 459-5992
Mailing address
2315 MYRTLE ST STE L10, ERIE, PA 16502-4611
(814) 454-2401
(814) 459-5992
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
OS012151
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102764429
—
PA
Enumeration date
09/20/2006
Last updated
02/23/2023
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