Individual
KEVIN P MEDVEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2901 ISLAND AVE, PHILADELPHIA, PA 19153-3013
(267) 713-4100
Mailing address
2901 ISLAND AVE, PHILADELPHIA, PA 19153-3013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW021451
PA
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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