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Organization

COLLEGEVILLE MEDICAL CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEM YENAL MD (OWNER)
(610) 489-8645
Entity
Organization

Contact information

Practice address
753 W MAIN ST, TRAPPE, PA 19426-1948
(601) 489-8645
(610) 489-6329
Mailing address
PO BOX 299, DELAWARE WATER GAP, PA 18327-0299
(610) 489-8645
(610) 489-6329

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
207Q00000X
Family Medicine Physician
208D00000X
General Practice Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
06/03/2014
Last updated
10/01/2014
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