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Individual

DR. KENNETH M. CERTA

Active
Find providers by NPI
Individual

DR. KENNETH M. CERTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD024309E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009959520007
PA
01
260038235
RR MEDICARE
01
CE416500
BLUE SHIELD OF PA
PA
Enumeration date
07/28/2006
Last updated
07/08/2025
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