The holder whose full name is Blumenthal, Kenneth W.,come from Portage IN,hold the CSR-Osteopathic Physician license(NO.02000639B) which status is Active.
| Name | Blumenthal, Kenneth W. |
|---|---|
| License Number | 02000639B |
| License Type | CSR-Osteopathic Physician |
| License Status | Active |
| City | Portage |
| State | IN |