# KEN-CREST SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619194008
- **Authorized official:** TONIA C MCNEAL (CFO)
- **Authorized official phone:** (610) 825-9360

## Contact information

- **Practice address:** 960A HARVEST DR, STE 100, BLUE BELL, PA 19422-1900
- **Practice address phone:** (610) 825-9360
- **Mailing address:** 960A HARVEST DR, STE 100, BLUE BELL, PA 19422-1900
- **Mailing address phone:** (610) 825-9360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 164W00000X | Licensed Practical Nurse | — | NULL | Yes |
| 164W00000X | Licensed Practical Nurse | — | — | Yes |
| 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