Organization
PERSONAL CARE PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KENNEDY M.D. (PHYSICIAN)
(215) 541-1333
Entity
Organization
Contact information
Practice address
925 MAIN ST, STE 100, PENNSBURG, PA 18073-1631
(215) 541-1333
(215) 541-1311
Mailing address
925 MAIN ST STE 100, PENNSBURG, PA 18073-1631
(215) 541-1333
(215) 541-1311
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP013619
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018444060004
—
PA
Enumeration date
09/16/2014
Last updated
09/16/2014
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