Individual
JOHN KENNETH GENTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN672933
PA
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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