Individual
DR. KENNETH A. ANDREONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 WALNUT ST BLDG 605, PHILADELPHIA, PA 19107-5001
(352) 443-0994
(215) 923-1420
Mailing address
1025 WALNUT ST BLDG 605, PHILADELPHIA, PA 19107-5001
(352) 443-0994
(215) 923-1420
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
35071275
OH
204F00000X
Transplant Surgery Physician
Primary
MD480153
PA
208600000X
Surgery Physician
9901500
NC
208600000X
Surgery Physician
ME113599
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006335000
—
FL
05
—
2836186
—
OH
Enumeration date
10/03/2006
Last updated
12/20/2024
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