Individual
DR. KENNETH G. BERKENSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 394-6028
(717) 394-9223
Mailing address
PO BOX 4216, LANCASTER, PA 17604-4216
(717) 394-6028
(717) 394-9223
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD050903L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01435808
—
PA
Enumeration date
01/04/2006
Last updated
04/03/2014
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