Individual
KEVIN A MANSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 W LANCASTER AVE, STE 310, PAOLI, PA 19301-1752
(610) 644-6040
(610) 644-7202
Mailing address
250 W LANCASTER AVE, STE 310, PAOLI, PA 19301-1752
(610) 644-6040
(610) 644-7202
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD044086E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012857740002
—
PA
Enumeration date
06/27/2005
Last updated
10/29/2009
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