KENNETH J HUEFTLE

PHILADELPHIA, PA
NPI1063847994
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: PA  MA057501)
Additional Taxonomies363AM0700X Physician Assistant, Medical
363AM0700X Physician Assistant, Medical
(Licence: PA  OA003525)
Enumeration Date2013-09-11
Last Update Date2019-11-12
Business Address
KENNETH J HUEFTLE MSPAS, PA-C
2301 S BROAD ST
PHILADELPHIA, PA 19148-3542
Phone number: 609-680-8160
Mailing Address
KENNETH J HUEFTLE MSPAS, PA-C
1333 FAWN DR
WILLIAMSTOWN, NJ 08094-3488
Phone number: 609-680-8160