Individual
KEVIN EDWARD CRAIG MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - NEPHROLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-2449
(215) 590-0425
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9232
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD056959L
PA
2080P0210X
Pediatric Nephrology Physician
Primary
MD056959L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100574345
—
PA
05
—
7591403
—
NJ
Enumeration date
07/28/2006
Last updated
04/18/2013
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