Organization
DR. FREDERICK A. KELNER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK A KELNER ED.D, (PRESIDENT)
(610) 733-9304
Entity
Organization
Contact information
Practice address
10 FOX RUN LN, NEWTOWN SQUARE, PA 19073-1004
(610) 733-9304
Mailing address
10 FOX RUN LN, NEWTOWN SQUARE, PA 19073-1004
(610) 733-9304
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-000371-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101616397
—
PA
Enumeration date
03/30/2016
Last updated
03/30/2016
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