Individual
KENNETH COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
5501 OLD YORK RD, WCB 4TH FLOOR, PHILADELPHIA, PA 19141-3018
(215) 456-3815
(215) 456-6803
Mailing address
101 E OLNEY AVE, SUITE 400, PHILADELPHIA, PA 19120-2421
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP009805
PA
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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