Dr. Kenneth A Widra is a Harrisonburg, Virginia based psychiatrist who is specialized in Child & Adolescent. Active license number of Dr. Kenneth A Widra is 0101041002 for Psychiatry in Virginia. His current practice location is 1241 N Main St, Harrisonburg. Patients can reach him at 540-434-1941 or can fax him at 540-433-8277. Dr. Kenneth A Widra is MD in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1801897608. Dr. Kenneth A Widra has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Dr. Kenneth A Widra speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Kenneth A Widra
Specialization:
Child & Adolescent
Gender:
Male
Credentials:
MD
Practice Address:
1241 N Main St, Harrisonburg, Virginia, 22802-4632
Phone:
540-434-1941
Fax:
540-433-8277
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1801897608
NPI Enumeration Date:
03 Aug, 2005
NPI Last Update On:
06 Jun, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth A Widra are as mentioned below.
License Number
Specialization
State
Status
0101041002
Psychiatry
Virginia
Primary
0101041002
Child & Adolescent
Virginia
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenneth A Widra such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
084255
Other
Virginia
SENTARA OPTIMA
258840
Other
Virginia
ANTHEM
004945166
Medicaid
Virginia
216331000
Other
Virginia
MAGELLAN
A164832
Other
Virginia
VALUE OPTIONS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Kenneth A Widra 6040 Public Landing Road, Snow Hill, Maryland
Zip:
21863
Phone Number:
410-632-1100
Fax Number:
410-632-2476
Patients can reach Dr. Kenneth A Widra at 1241 N Main St, Harrisonburg, Virginia or can call to book an appointment on 540-434-1941.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.