Individual
DR. KEVIN PEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-8450
Mailing address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-8450
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT197508
PA
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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