Individual
MR. KENNNETH JOSEPH SANTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
196 W SPROUL RD, SPRINGFIELD, PA 19064-2045
(610) 328-8830
Mailing address
196 W SPROUL RD, SPRINGFIELD, PA 19064-2045
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
RT000630A
PA
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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