Individual
JODI MICHELE KEFER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 S 5TH ST, PHILADELPHIA, PA 19147-5919
(215) 467-3515
(215) 467-0338
Mailing address
1400 S 5TH ST, PHILADELPHIA, PA 19147-5919
(215) 467-3515
(215) 467-0338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD062494-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1066800
—
PA
Enumeration date
04/13/2006
Last updated
07/08/2007
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