Basic Information
| Provider Information | |||||||||
| NPI: | 1578537171 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MENDEL | ||||||||
| FirstName: | KENNETH | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1020 BALTIMORE PIKE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | GLEN MILLS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193421365 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4844761000 | ||||||||
| FaxNumber: | 4844769000 | ||||||||
| Practice Location | |||||||||
| Address1: | 1020 BALTIMORE PIKE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | GLEN MILLS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193421365 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4844761000 | ||||||||
| FaxNumber: | 4844769000 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2006 | ||||||||
| LastUpdateDate: | 12/12/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | MD028474E | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.