Kenneth M. Certa in Phila - Psychiatry

Kenneth M. Certa - NPI 1962416651

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
Address 833 Chestnut St, Phila, Pennsylvania
Phone Number 2159556655
Fax Number 2159238219
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1962416651
Provider Enumeration Date 2006-07-28
Last Updated Date 2008-11-04

Provider Mailing Address Detail

Address 833 Chestnut St
City Phila
State Pennsylvania (PA)
Post Code 191074414
Phone Number 2159556655
Fax Number 2159238219

Provider's Primary Taxonomy Detail

Speciality Psychiatry
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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FAQs about Kenneth M. Certa

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.

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