Individual
MR. KEVIN SCOTT ZAKIELARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
723 S 22ND ST APT 1, PHILADELPHIA, PA 19146-1255
(617) 275-6836
Mailing address
723 S 22ND ST APT 1, PHILADELPHIA, PA 19146-1255
(617) 275-6836
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
164X00000X
Licensed Vocational Nurse
308769
TX
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
MA058194
PA
363AM0700X
Medical Physician Assistant
Primary
MA058194
PA
Other
Enumeration date
10/28/2011
Last updated
07/22/2025
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