Individual
MR. BEN RUSSELL KENION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1513 RACE ST, PHILADELPHIA, PA 19102-1125
(215) 587-5000
Mailing address
619 GLENVIEW ST, PHILADELPHIA, PA 19111-4308
(215) 742-3714
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OCOO6722L
PA
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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