Individual
DR. GEORGE JAMES KENIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2 N BELFIELD AVE, HAVERTOWN, PA 19083-4836
(610) 789-4564
(610) 789-3159
Mailing address
2 N BELFIELD AVE, HAVERTOWN, PA 19083-4836
(610) 789-4564
(610) 789-3159
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS004416L
PA
208000000X
Pediatrics Physician
OS004416L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008995080001
—
PA
Enumeration date
04/06/2006
Last updated
07/21/2021
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