Individual
STEPHANIE PEREZ KERKVLIET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC NEPHROLOGY, PHILADELPHIA, PA 19104-4319
(267) 425-4566
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC NEPHROLOGY, PHILADELPHIA, PA 19104-4319
(267) 425-4566
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
MT224992
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2018
Last updated
06/27/2022
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