Organization
KENNETH C HEIST D.O.,PC
Active
Organization
KENNETH C HEIST D.O.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGE ROGERS (OFFICE MANAGER)
(215) 271-6900
Entity
Organization
Contact information
Practice address
2301 S 13TH ST, PHILA, PA 19148-3505
(215) 271-6900
Mailing address
2301 S 13TH ST, PHILA, PA 19148-3505
(215) 271-6900
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/13/2007
Last updated
11/21/2012
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