Individual
DR. KENNETH P PRITCHYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2385 N LECANTO HWY, LECANTO, FL 34461
(352) 746-0077
(352) 746-1704
Mailing address
PO BOX 1120, LECANTO, FL 34460
(352) 746-0077
(352) 746-1704
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO02787
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340119700
—
FL
Enumeration date
02/24/2006
Last updated
08/20/2008
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