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Individual

DR. KEENAN RHYS SOBOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Mailing address
1213 WALNUT ST APT 507, PHILADELPHIA, PA 19107-4951
(614) 738-0464

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MT225804
PA

Other

Enumeration date
05/26/2022
Last updated
05/26/2022
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