Individual
KEVIN C FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
595 W STATE ST, DOYLESTOWN, PA 18901-2554
(215) 345-2290
(215) 345-2596
Mailing address
PO BOX 830624, PHILADELPHIA, PA 19182-0624
(800) 666-1816
(706) 653-0615
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD433621
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102139479-0001
—
PA
Enumeration date
05/12/2008
Last updated
09/04/2024
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