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KENNETH W DISTLER MD
NPI 1598849903
Specialist in Saginaw, MI

Active since October 24, 2006
2130 MARSHALL CT, SAGINAW, MI 48602(989) 799-0600(989) 799-6080 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth W Distler Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH W DISTLER MD (NPI 1598849903) is an individual specialist in Saginaw, Michigan, licensed in Michigan (KD046952) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1598849903
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameKENNETH W DISTLERCredential: MD
Location Address2130 MARSHALL CTSaginaw, MI 48602-3351
Mailing Address2130 Marshall CtSaginaw, MI 48602-3351 · (989) 799-0600 · Fax (989) 799-6080
Phone(989) 799-0600
Fax(989) 799-6080
Sole ProprietorYes
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1598849903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · KD046952
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2130 MARSHALL CT, Saginaw, MI 48602
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Other Identifiers 4

OtherKD046952MI · License
Medicaid1681561MI
Medicare ID-Type Unspecified0731073MI · Medicare
Medicare UPINE26233MI

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH YACISEN, DO, PC
Specialist
2130 MARSHALL CT
SAGINAW, MI 48602
Saginaw County (989) 466-2663
KENNETH W DISTLER MD PC
Orthopaedic Surgery
2130 MARSHALL CT
SAGINAW, MI 48602
Saginaw County (989) 799-0600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Distler's NPI number?

The NPI number for Kenneth Distler is 1598849903. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Kenneth Distler located?

Kenneth Distler practices at 2130 Marshall Ct, Saginaw, MI 48602. The listed phone number is (989) 799-0600.

What is Kenneth Distler's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kenneth Distler was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.