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Individual

DR. KENNETH H ECKHERT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
295 ESSJAY RD, WILLIAMSVILLE, NY 14221-8216
(716) 630-1477
(716) 250-5936
Mailing address
6255 SHERIDAN DR, SUITE 304, WILLIAMSVILLE, NY 14221-4836
(716) 857-8666
(716) 857-8944

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
104222
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010050002
UNIVERA
NY
01
000505901008
HEALTH NOW
NY
05
00681810
NY
01
050908000011
FIDELIS
NY
01
1706284
IHA
NY
01
198214
GHI
NY
Enumeration date
01/09/2006
Last updated
03/12/2008
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