Organization
KEN-CREST SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONIA C MCNEAL (CFO)
(215) 825-9360
Entity
Organization
Contact information
Practice address
2820 OLD LINCOLN HWY, TREVOSE, PA 19053-6828
(610) 825-9360
(610) 825-4127
Mailing address
502 W GERMANTOWN PIKE STE 200, ATTN YAS FISCAL, PLYMOUTH MEETING, PA 19462-1348
(610) 825-9360
(610) 825-4127
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/26/2007
Last updated
06/19/2008
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