Individual
RANDY KECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
931 CATFISH LN, POTTSTOWN, PA 19465-7305
(484) 366-4022
Mailing address
931 CATFISH LN, POTTSTOWN, PA 19465-7305
(484) 366-4022
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
PA096084
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028954670003
—
PA
Enumeration date
10/17/2018
Last updated
10/17/2018
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