Kenneth Wayne House, DO Valid NPI
Individual provider · Cardiovascular Disease Physician · Beaver, PA
- NPI
- 1043216393
- Type
- Individual (Type 1)
- Primary specialty
- Cardiovascular Disease Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207RC0000X
- License number
- OS007312E (PA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-06-22
- Last updated
- 2023-11-16
Practice location
Heart And Vascular Center, 605 Sharon Rd.
Beaver, PA 15009
(724) 773-4502