Organization
KENCREST SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA MCNEAL (CFO)
(610) 825-9360
Entity
Organization
Contact information
Practice address
960A HARVEST DR, SUITE 100, BLUE BELL, PA 19422-1900
(610) 825-9360
(610) 825-4127
Mailing address
960A HARVEST DR, SUITE 100, BLUE BELL, PA 19422-1900
(610) 825-9360
(610) 825-4127
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251K00000X
—
PA
Enumeration date
05/19/2009
Last updated
05/04/2016
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