Individual
KENNETH R MINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 W 12TH ST, ERIE, PA 16505-3380
(814) 833-0399
(814) 833-4999
Mailing address
3800 W 12TH ST, ERIE, PA 16505-3380
(814) 833-0399
(814) 833-4999
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
MD054676L
PA
Other
Enumeration date
05/24/2005
Last updated
11/28/2007
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