Individual
KEVIN JAMES HAMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 N 65TH ST, PHILADELPHIA, PA 19151-4003
(215) 300-5992
Mailing address
404 N 65TH ST, PHILADELPHIA, PA 19151-4003
(215) 300-5992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP019522
PA
Other
Enumeration date
03/09/2019
Last updated
03/09/2019
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