Individual
KEVIN A GINGRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
216-220 N. BROAD STREET, 2ND FLOOR FEINSTEIN BUILDING, PHILADELPHIA, PA 19102-1121
(215) 762-2663
(215) 762-4447
Mailing address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 255-3828
(215) 255-3577
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD040220E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12512750008
—
PA
Enumeration date
10/25/2005
Last updated
11/12/2015
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