Individual
JONATHAN KEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
(717) 531-4587
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2016042796
MO
207P00000X
Emergency Medicine Physician
Primary
MD470545
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037946000001
—
PA
Enumeration date
06/12/2014
Last updated
09/09/2020
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