KENNETH WAYNE BLUMENTHAL

VALPARAISO, IN
NPI1427053255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02000639)
Enumeration Date2005-06-17
Last Update Date2024-05-08
Business Address
KENNETH WAYNE BLUMENTHAL DO
2802 LEONARD DR
VALPARAISO, IN 46383-7136
Phone number: 219-531-5855
Mailing Address
KENNETH WAYNE BLUMENTHAL DO
2802 LEONARD DR
VALPARAISO, IN 46383-7136
Phone number: 219-531-5855
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