Individual
KENNETH J FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 CLOVELLY LN, DEVON, PA 19333-1847
(484) 431-5718
(484) 480-2987
Mailing address
640 CLOVELLY LN, DEVON, PA 19333
(484) 431-5718
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01088523A
IN
208800000X
Urology Physician
Primary
MD056906L
PA
Other
Enumeration date
07/11/2006
Last updated
09/28/2022
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