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Organization
KEN-CREST SERVICES
Active
Organization
KEN-CREST SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA C MCNEAL (CFO)
(610) 825-9360
Entity
Organization
Contact information
Practice address
960A HARVEST DR, STE 100, BLUE BELL, PA 19422-1900
(610) 825-9360
Mailing address
960A HARVEST DR, STE 100, BLUE BELL, PA 19422-1900
(610) 825-9360
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
Primary
—
NULL
164W00000X
Licensed Practical Nurse
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/19/2007
Last updated
05/04/2016
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