Individual
KEVIN VUERNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1216 ARCH ST, 6TH FLOOR, PHILADELPHIA, PA 19107-2835
(215) 981-0088
(215) 854-0735
Mailing address
1216 ARCH ST, 6TH FLOOR, PHILADELPHIA, PA 19107-2835
(215) 981-0088
(215) 854-0735
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100758431 0001
—
PA
Enumeration date
07/25/2008
Last updated
03/15/2016
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