Organization · Type 2 NPI

Dpmkentnerprpa LLC

Primary Podiatric Medicine Podiatrist · Philadelphia, PA

NPI number 1801925078 Active

Practice location

1923 Welsh Rd
Philadelphia, PA 19115-4659

Call (215) 677-3222 Map

Fax (215) 677-3241

Mailing address

11773 Dimarco Dr
Philadelphia, PA 19154-3716

Specialties and licenses

TaxonomyCodeLicense
Primary Podiatric Medicine Podiatrist Primary 213EP1101XSC004823L (PA)

Primary Podiatric Medicine Podiatrist: Definition to come...

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About NPI 1801925078

Dpmkentnerprpa LLC's National Provider Identifier is 1801925078, issued on Mar 5, 2007. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 26, 2007.