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1194349845
MATTHEW KENING
PHILADELPHIA, PA
NPI
1194349845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA OT020138)
Enumeration Date
2020-05-28
Last Update Date
2020-05-28
Business Address
MATTHEW KENING DO
10800 KNIGHTS RD
PHILADELPHIA, PA 19114-4200
Phone number: 215-612-5161
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Mailing Address
MATTHEW KENING DO
10800 KNIGHTS RD
PHILADELPHIA, PA 19114-4200
Phone number:
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