Individual
KEVIN SYESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, STE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
4000 PRESIDENTIAL BLVD, APT 1121, PHILADELPHIA, PA 19131-1713
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN274451
PA
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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