Keystone Kidney Associates, Pc

NPI 1053417402 - Clinic/Center - 261QA1903X

NPI Details
NPI 1053417402
Enumeration Date 09/15/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL MICHAEL
Position EXECUTIVE DIRECTOR
Phone (215) 675-9900
Fax (215) 675-4096
Practice Location
2701 BLAIR MILL RD
SUITE 30
WILLOW GROVE PA, 19090-1041, US
Phone (215) 675-9900
Fax (215) 675-4096
Business Location
2701 BLAIR MILL RD
SUITE 30
WILLOW GROVE PA, 19090-1041, US
Phone (215) 675-9900
Fax (215) 675-4096
Toxanomy
Taxonomy Code 261QA1903X
License State Pennsylvania
License Number 15331501
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According to our database, Keystone Kidney Associates, Pc NPI is 1053417402, taxonomy code is 261QA1903X and license number is 15331501, license state is located at Pennsylvania. Keystone Kidney Associates, Pc physically located at 2701 Blair Mill Rd, Willow Grove PA, 19090-1041. NPI Number 1033115704 has the healthcare provider type.

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1053417402 NPI number is provided on an as is basis without warranty of any kind. 1053417402 is maintained by the National Plan & Provider Enumeration System. The contents of Keystone Kidney Associates, Pc are for informational purposes only.