Individual
KEVIN HENRY BROWNGOEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5030 STATE RD, SUITE 2-900, DREXEL HILL, PA 19026-4605
(610) 623-9080
(610) 623-3861
Mailing address
5030 STATE RD, DREXEL HILL, PA 19026-4605
(610) 623-9080
(610) 623-3861
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
AB3130438
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010080770002
—
PA
Enumeration date
04/03/2007
Last updated
04/29/2011
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