Kenneth M. Certa is a Psychiatry in Phila, Pennsylvania. Kenneth M. Certa practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kenneth M. Certa is 1962416651. The last update date is 2008-11-04.
Kenneth M. Certa's current location address is 833 Chestnut St, Phila, Pennsylvania. You can contact this provider via phone number 2159556655 and fax number 2159238219. The mailing address for Kenneth M. Certa is 833 Chestnut St, Phila, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth M. Certa |
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Address | 833 Chestnut St, Phila, Pennsylvania |
Phone Number | 2159556655 |
Fax Number | 2159238219 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1962416651 |
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Provider Enumeration Date | 2006-07-28 |
Last Updated Date | 2008-11-04 |
Provider Mailing Address Detail
Address | 833 Chestnut St |
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City | Phila |
State | Pennsylvania (PA) |
Post Code | 191074414 |
Phone Number | 2159556655 |
Fax Number | 2159238219 |
Provider's Primary Taxonomy Detail
Speciality | Psychiatry |
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Taxonomy | 2084P0800X |
Licence No | MD024309E |
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
9959520007 | PA | -- | |
260038235 | RR MEDICARE | ||
CE416500 | PA | BLUE SHIELD OF PA |
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What is the unique 10-digit identifier code issued to Kenneth M. Certa by the Centers for Medicare & Medicaid Services?
The Kenneth M. Certa has been assigned the NPI (National Provider Identifier) 1962416651 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kenneth M. Certa's physical address?
The Kenneth M. Certa is physically located at 833 Chestnut St, in the city of Phila, PA, with the postal code 191074414.
What is Kenneth M. Certa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth M. Certa is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.
When did the Kenneth M. Certa receive its 1962416651?
The Kenneth M. Certa was issued its 1962416651 on 2006-07-28, which is the date when the organization was assigned this unique identifier.
When was the Kenneth M. Certa's information last updated?
The Kenneth M. Certa's information was last updated on 2008-11-04.