Individual
KEVIN OHAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-2200
Mailing address
790 N CROSKEY ST, PHILADELPHIA, PA 19130-2608
(919) 451-6590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT201780
PA
Other
Enumeration date
05/23/2012
Last updated
06/24/2014
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