Individual
MICHAEL J KEGERREIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 SPRUCE ST, 3 DULLES BUILDING, PHILADELPHIA, PA 19104-4238
(215) 349-8222
Mailing address
3400 SPRUCE ST, 3 DULLES BUILDING, PHILADELPHIA, PA 19104-4238
(215) 349-8222
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP017052
PA
Other
Enumeration date
10/26/2016
Last updated
01/04/2017
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