Organization
AQUABILITIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS A. KENNEDY (PRESIDENT)
(610) 582-2348
Entity
Organization
Contact information
Practice address
320 W MAIN ST, BIRDSBORO, PA 19508-1900
(610) 582-2348
(610) 528-3938
Mailing address
320 W MAIN ST, BIRDSBORO, PA 19508-1900
(610) 582-2348
(610) 528-3938
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02752300
CAPITAL BLUE CROSS
PA
01
—
0368299000
KEYSTONE HEALTH PLAN EAST
PA
01
—
952915
BLUE SHIELD
PA
Enumeration date
12/27/2006
Last updated
08/22/2020
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