Individual
DR. KENT ROBERT ZETTEL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 WALNUT ST STE 100, LEMOYNE, PA 17043
(717) 761-4141
(717) 761-1456
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
(717) 761-4141
(717) 761-1456
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A139271
CA
208600000X
Surgery Physician
Primary
MD452164
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A139271
CALIFORNIA MEDICAL LICENSE
CA
01
—
MD452164
PENNSYLVANIA LICENSE
PA
01
—
MT193041
MEDICAL TRAINING NUMBER
PA
Enumeration date
07/30/2008
Last updated
01/23/2021
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