Individual
KIANNA CAROL VEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 N 13TH ST, PHILADELPHIA, PA 19133-1327
(215) 866-7094
Mailing address
2920 N 13TH ST, PHILADELPHIA, PA 19133-1327
(215) 866-7094
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
54133601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85-1636081
—
PA
Enumeration date
11/09/2021
Last updated
11/09/2021
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