Search › Delaware › 183500000X
Kenny Kwack
NPI 1437601242 · on the registry since 2016 · sole proprietor
Practice
- Address
- 32979 Coastal Hwy
Bethany Beach, DE 19930 - Phone
- (302) 537-3700
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- DE, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-12-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Delaware