MEDICARE: KENNETH J. VEIT DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS003642L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	071716E7H	OTHER	PA	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104827286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH J. VEIT DO

Provider Business Mailing Address
First Line	:	4190 CITY LINE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19131-1626
Country	:	US
Telephone Number	:	215-871-6910
Fax Number	:	215-871-6905

Provider Business Practice Location Address
First Line	:	4190 CITY LINE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19131-1626
Country	:	US
Telephone Number	:	215-871-6380
Fax Number	:	215-871-6381

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	01/27/2016

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Directions to “ KENNETH J. VEIT DO” Practice Location

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