Individual
JACOB KESSELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3860
Mailing address
1227 S 24TH ST, PHILADELPHIA, PA 19146-4117
(484) 222-1762
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP020985
PA
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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