Individual
KEVIN ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(800) 355-1201
Mailing address
1227 SW 13TH CT, MIAMI, FL 33135-5437
(305) 781-0125
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5198794
FL
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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