Individual
KENNY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1431 FORRESTER AVE, SHARON HILL, PA 19079-2422
(609) 592-2193
Mailing address
1431 FORRESTER AVE, SHARON HILL, PA 19079-2422
(609) 592-2193
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP034733
PA
Other
Enumeration date
01/04/2019
Last updated
12/08/2025
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