Individual
KENNY OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, JD
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-8484
(215) 707-5901
Mailing address
3500 N BROAD ST RM 1A, PHILADELPHIA, PA 19140-4106
(215) 926-9019
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD481887
PA
Other
Enumeration date
04/23/2018
Last updated
10/12/2023
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