Individual
KEVIN SEMLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CPNP-AC/PC
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(609) 969-0783
Mailing address
30 OAK RIDGE DR, VOORHEES, NJ 08043-1501
(609) 969-0783
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
SP017647
PA
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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