Individual
KENNETH J. VINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
190 GEORGE JUNIOR RD, GROVE CITY, PA 16127-4414
(724) 458-1100
(888) 561-7937
Mailing address
190 GEORGE JUNIOR RD, GROVE CITY, PA 16127-4414
(724) 458-1000
(888) 561-7937
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004038L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000609608
KEYSTONE BLUE WEST
PA
01
—
409007
MEDICARE ID
PA
Enumeration date
12/22/2005
Last updated
10/12/2016
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