Kenneth L Izzo
Pain Medicine
1811 Bethlehem Pike Suite 221
Flourtown
, Pennsylvania 19031
Kenneth L Izzo
Pain Medicine
1811 Bethlehem Pike Suite 221
Flourtown
, Pennsylvania 19031
(215) 233-1141
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Kenneth L Izzo
- 1811 Bethlehem Pike Suite 221
- Flourtown, PA
- Zip : 19031
- Fax : (215) 233-1141
- Phone : (215) 233-1223
Second Address
- Kenneth L Izzo
- 1811 Bethlehem Pike Suite 221
- Flourtown, PA
- Zip : 19031
- Fax : (215) 233-1141
- Phone : (215) 233-1223
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | MD017101 | PA |
National Provider Identifier
| NPI | 1285725010 |
|---|---|
| Provider Name | Kenneth L Izzo |
| First Address | Flourtown, PA 19031 |
| Second Address | Flourtown, PA 19031 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0060080000 | BCBS KEYSTONE EAST (01) | |
| 01927385 | (05) | PA |
| 3503051 | AETNA (01) | PA |
| B36884 | (02) | |
| IZ112248 | BCBS PERSONAL CHOICE (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.