Organization
KCS MEDICAL CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWATOBI E MENAWONU CRNP (MANAGING MEMBER)
(215) 834-3656
Entity
Organization
Contact information
Practice address
3211 WILLITS RD, PHILADELPHIA, PA 19114-3817
(215) 834-3656
Mailing address
175 W COHAWKIN RD STE C, CLARKSBORO, NJ 08020-1145
(856) 423-7700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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