Individual
KENNESHIA STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7908 CEDARBROOK AVE, PHILADELPHIA, PA 19150-1310
(267) 441-5044
Mailing address
7908 CEDARBROOK AVE, PHILADELPHIA, PA 19150-1310
(267) 441-5044
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303044
PA
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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