Individual
DR. KENNETH EDWARD HERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5204 TORRESDALE AVE, PHILADELPHIA, PA 19124-2201
(215) 537-0774
Mailing address
64 BOXWOOD ROAD, CHURCHVILLE, PA 18966-1013
(215) 537-0774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DCX003945L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012277250001
—
PA
Enumeration date
07/12/2006
Last updated
05/02/2017
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