Individual
DR. KENNETH L. COVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1401
(570) 271-6164
(570) 271-6141
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD046045L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012961230007
—
PA
Enumeration date
07/10/2006
Last updated
08/21/2020
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