Individual
DR. KENNETH R LATTIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LAKE PLAZA 2 ROUTE 706 E, MONTROSE, PA 18801-0285
(570) 278-3393
(570) 278-1716
Mailing address
185 FALLBROOK ST, CARBONDALE, PA 18407-0514
(570) 282-1732
(570) 282-6529
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD035251E
PA
Other
Enumeration date
03/07/2006
Last updated
06/08/2016
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