Organization
FINI HEALTH AND WELLNESS GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEMU KERKULA MD (DIRECTOR)
(302) 299-5569
Entity
Organization
Contact information
Practice address
5201 PENNELL RD STE A, MEDIA, PA 19063-6502
(877) 346-4543
Mailing address
5201 PENNELL RD STE A, MEDIA, PA 19063-6502
(877) 346-4543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035816200001
—
PA
01
—
3790489001
KEYSTONE HEALTH PLAN EAST
PA
Enumeration date
09/17/2018
Last updated
04/27/2021
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