Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH L IZZO, MD
ActivePain Medicine (PM&R) · FLOURTOWN, PA
Registration Details
- NPI Number
- 1285725010
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2006 (19.564077241536 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD017101 (PA)
Practice Information
- Address
-
1811 BETHLEHEM PIKESUITE 221FLOURTOWN, PA, 19031Browse PA providers · Browse ZIP 19031
- Phone
- 2152331223
- Fax
- 2152331141
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.