Kenneth Wayne Blumenthal in Portage - Family Medicine
Kenneth Wayne Blumenthal - NPI 1427053255
Kenneth Wayne Blumenthal is a Family Medicine in Portage, Indiana. Kenneth Wayne Blumenthal practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth Wayne Blumenthal is 1427053255. The last update date is 2008-03-19.
Kenneth Wayne Blumenthal's current location address is 3125 Willowcreek Rd, Portage, Indiana. You can contact this provider via phone number 2197623175 and fax number 2197633092. The mailing address for Kenneth Wayne Blumenthal is 3125 Willowcreek Rd, Portage, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Wayne Blumenthal |
|---|---|
| Address | 3125 Willowcreek Rd, Portage, Indiana |
| Phone Number | 2197623175 |
| Fax Number | 2197633092 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1427053255 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2008-03-19 |
Provider Mailing Address Detail
| Address | 3125 Willowcreek Rd |
|---|---|
| City | Portage |
| State | Indiana (IN) |
| Post Code | 4636844230 |
| Phone Number | 2197623175 |
| Fax Number | 2197633092 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2000639 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80152596 | IN | RAILROAD MEDICARE | |
| 93874 | IN | AMTHEM BC/BS | |
| 100352990 | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kenneth Wayne Blumenthal by the Centers for Medicare & Medicaid Services?
The Kenneth Wayne Blumenthal has been issued the NPI (National Provider Identifier) 1427053255. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kenneth Wayne Blumenthal's facilities are situated?
The facilities of Kenneth Wayne Blumenthal are physically located at the following address: 3125 Willowcreek Rd, Portage, IN, 4636844230.
What is the area of specialization for Kenneth Wayne Blumenthal, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth Wayne Blumenthal is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1427053255 to Kenneth Wayne Blumenthal?
The Centers for Medicare & Medicaid Services originally issued the 1427053255 to Kenneth Wayne Blumenthal on 2005-06-17.
As of what date were the Kenneth Wayne Blumenthal's details last updated?
The information pertaining to the Kenneth Wayne Blumenthal, including its address, specialty, and other details, was most recently updated on 2008-03-19.