DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. KENNETH A WIDRA MD

MEDICARE: DR. KENNETH A WIDRA MD
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
12084P0804XChild & Adolescent Psychiatry Physician0101041002VA
22084P0800XPsychiatry Physician0101041002VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1084255OTHERVASENTARA OPTIMA
2258840OTHERVAANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4216331000OTHERVAMAGELLAN
5A164832OTHERVAVALUE OPTIONS

General Provider Information

NPI Number : 1801897608
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH A WIDRA MD
Provider Business Mailing Address
First Line : 6040 PUBLIC LANDING ROAD
Second Line :
City : SNOW HILL
State : MD
Zip : 21863
Country : US
Telephone Number : 410-632-1100
Fax Number : 410-632-2476
Provider Business Practice Location Address
First Line : 1241 N MAIN ST
Second Line :
City : HARRISONBURG
State : VA
Zip : 22802-4632
Country : US
Telephone Number : 540-434-1941
Fax Number : 540-433-8277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 06/06/2017

Similar Medicare Providers

1215933817 — HARRISONBURG-ROCKINGHAM COMMUNITY SERVICES BOARD
Practice Location Address:
1241 N MAIN ST
HARRISONBURG, VA
22802-4632
Practice Phone: 540-434-1941
Practice Fax: 540-433-8277
1700883048 — MS. MARGARET GARLAND GIESEKE-SMITH M.S. LPC
Practice Location Address:
1241 N MAIN ST
HARRISONBURG, VA
22802-4632
Practice Phone: 540-434-1941
Practice Fax: 540-433-8277
1326045378 — MISS KATHRYN GUENTHER LPC
Practice Location Address:
1241 N MAIN ST
HARRISONBURG, VA
22802-4632
Practice Phone: 540-434-1941
Practice Fax: 540-433-8277
1508864943 — MR. RODNEY BRUCE GRIFFITH L.P.C.
Practice Location Address:
1241 N MAIN ST
HARRISONBURG, VA
22802-4632
Practice Phone: 540-434-1941
Practice Fax:
1598763765 — MS. CHARLOTTE V MCNULTY L.P.C.
Practice Location Address:
1241 N MAIN ST
HARRISONBURG, VA
22802-4632
Practice Phone: 540-434-1941
Practice Fax: 540-433-8277
1679574446 — ELAINE HARTMAN MCGANN PHD
Practice Location Address:
1241 N MAIN ST
HARRISONBURG, VA
22802-4632
Practice Phone: 540-434-1941
Practice Fax: 540-433-8277

Directions to “ DR. KENNETH A WIDRA MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.