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Active
Other names
Stephen Klein Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN NOEL (CFO/EVP)
(215) 309-5286
Entity
Organization

Contact information

Practice address
2144 CECIL B MOORE AVE, PHILADELPHIA, PA 19121-4014
(215) 320-6187
(215) 235-4441
Mailing address
2144 CECIL B MOORE AVE, PHILADELPHIA, PA 19121-4014
(215) 320-6192
(484) 229-3346

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
07/28/2012
Last updated
02/19/2026
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