Individual
KAHLIL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1540 S STILLMAN ST, PHILADELPHIA, PA 19146-4408
(312) 998-1624
Mailing address
1540 S STILLMAN ST, PHILADELPHIA, PA 19146-4408
(312) 998-1624
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
1027669
PA
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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