Individual
KEVIN MARTIN DAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA067470
PA
Other
Enumeration date
12/23/2025
Last updated
03/10/2026
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