Organization
KING OF PRUSSIA AS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CAMPBELL (OWNER)
(215) 205-8221
Entity
Organization
Contact information
Practice address
1000 FIRST AVE, STE 100, KING OF PRUSSIA, PA 19406-1333
(610) 337-7662
Mailing address
1000 FIRST AVE, STE 100, KING OF PRUSSIA, PA 19406-1333
(610) 337-7662
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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