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1497706154
KENNETH A. WIDOM
DANVILLE, PA
NPI
1497706154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: PA MD424958)
Enumeration Date
2006-05-15
Last Update Date
2020-07-16
Business Address
Dr. KENNETH A. WIDOM M.D.
100 N ACADEMY AVE
DANVILLE, PA 17822-2018
Phone number: 570-271-7149
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Mailing Address
Dr. KENNETH A. WIDOM M.D.
100 N ACADEMY AVE
DANVILLE, PA 17822-3034
Phone number: 570-271-6144
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