MEDICARE: KENTON J ZEHR M.D.

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	208600000X	Surgery Physician	4301117256	MI
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	4301117256	MI
3	208600000X	Surgery Physician	40529	MN

Other Identifiers

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

General Provider Information

NPI Number	:	1548248354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENTON J ZEHR M.D.

Provider Business Mailing Address
First Line	:	5605 AYLESBORO AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1401
Country	:	US
Telephone Number	:	412-521-5329
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 MACK AVE STE 64100
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48201-2466
Country	:	US
Telephone Number	:	313-832-0650
Fax Number	:

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

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	08/08/2019

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