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Dr. Kenneth Unice
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Kenneth Unice |
| Gender: | M |
| Provider License Number If Given: | OS004179L |
NPI Information:
| NPI: | 1275532830 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 2/10/2016 |
Provider Business Mailing Address:
| Address: | 495 PINE ST Meadville, PA 16335 |
| Phone Number: | |
| Fax Number: |
Provider Business Practice Location Address:
| Address: | 495 PINE ST Meadville, PA 16335 |
| Phone Number: | 8143332103 |
| Fax Number: | 8143373798 |
Provider Taxonomy:
| Primary: | 207Q00000X |
| Secondary (if any): | |
| State: | PA |
