Individual
KENNETH J. WESTERHEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
605 CRESCENT PL, GAHANNA, OH 43230-3086
(614) 545-7900
(614) 545-7901
Mailing address
340 POLARIS PKWY, WESTERVILLE, OH 43082-7971
(614) 545-7900
(614) 545-7901
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35080963
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
35.080963
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000349506
ANTHEM
OH
05
—
2419485
—
OH
01
—
7127453
AETNA
OH
Enumeration date
08/24/2005
Last updated
03/13/2025
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