Wildrick, Kenneth H
Wildrick, Kenneth H is an individual health care provider with primary practice located at 4315 Easton Ave Suite 2, Bethlehem PA 18020-1498. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Wildrick, Kenneth H can be contacted via phone (610) 868-8850.Contact Information
Primary practice address
4315 Easton Ave Suite 2
Bethlehem PA 18020-1498
Phone: (610) 868-8850
Fax: (610) 868-8845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD012151E | Pennsylvania |
Profile Details
| NPI number | 1235166026 |
|---|---|
| LBN Legal business name | Wildrick, Kenneth H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Aug 1st, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235166026 | NPPES |
| Pennsylvania | MEDICAID | 0783413 |
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