Kenneth Wayne Blumenthal is a Family Medicine Physician based in Portage, IN. Kenneth Wayne Blumenthal practices in Portage, IN and has the professional credentials of DO. The NPI Number for Kenneth Wayne Blumenthal is 1427053255 and holds a License No. 02000639 (Indiana).
The current practice location address for Kenneth Wayne Blumenthal is 3125 Willowcreek Rd, Portage, IN and can be reached out via phone at 219-762-3175 and via fax at 219-763-3092. You can also correspond with Kenneth Wayne Blumenthal through the mailing address at 3125 WILLOWCREEK RD, PORTAGE, IN - 46368-4423 (mailing address contact number: 219-762-3175).
Identifier | Type | State | Issuer |
---|---|---|---|
080152596 | 01 | IN | RAILROAD MEDICARE |
000000093874 | 01 | IN | AMTHEM BC/BS |
100352990 | 05 | IN |
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