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NPI Code Detail

MEDICARE: DR. KENNETH NORMAN VERMETTE M.D.

MEDICARE: DR. KENNETH NORMAN VERMETTE 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
1207Q00000XFamily Medicine PhysicianH0905TX
2207QH0002XHospice and Palliative Medicine (Family Medicine) PhysicianMD444355PA

Other Identifiers

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

General Provider Information

NPI Number : 1992775977
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH NORMAN VERMETTE M.D.
Provider Business Mailing Address
First Line : 561 FAIRTHORNE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-2412
Country : US
Telephone Number : 215-487-4000
Fax Number : 215-483-8187
Provider Business Practice Location Address
First Line : 561 FAIRTHORNE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-2412
Country : US
Telephone Number : 215-487-4000
Fax Number : 215-483-8187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 03/31/2021

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