Individual
KEVICHE LAWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1103 WINDRIM AVE, PHILA, PA 19141-2817
(215) 457-6400
(215) 457-6500
Mailing address
6145 ERDRICK ST, PHILA, PA 19135-3516
(215) 200-6410
(215) 457-6500
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN622566
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41663601
DEPARTMENT OF HEALTH HOME CARE LICENSE
PA
Enumeration date
02/21/2020
Last updated
02/21/2020
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