Organization
KENCREST SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON SCOTT ZERR (DIRECTOR CLIENT FINANCE)
(610) 825-9360
Entity
Organization
Contact information
Practice address
960A HARVEST DR STE 100, BLUE BELL, PA 19422-1991
(610) 825-9360
Mailing address
960A HARVEST DR STE 100, BLUE BELL, PA 19422-1991
(610) 825-9360
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250570467
—
DE
Enumeration date
03/16/2021
Last updated
03/16/2021
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