Individual
KENNETH HOELLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E OLNEY AVE, C5, PHILADELPHIA, PA 19120-2421
(215) 927-1937
(215) 927-7939
Mailing address
101 E OLNEY AVE, STE C5, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD022822E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00685271
—
PA
Enumeration date
03/22/2006
Last updated
04/05/2021
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