Individual
DR. KENNETH D DUNLAP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
500 GREENBRIAR RD, YORK, PA 17404-1335
(717) 718-5511
(717) 718-0660
Mailing address
500 GREENBRIAR RD, YORK, PA 17404-1335
(717) 718-5511
(717) 718-0660
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003723L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001410291
—
PA
01
—
02092701
CAPITAL BLUE CROSS
PA
01
—
1427240
HIGHMARK BLUE SHIELD
PA
01
—
747106VKJ
MEDICARE PTAN
PA
Enumeration date
08/09/2005
Last updated
10/28/2016
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