KAILEEN BEVENOUR

PHILADELPHIA, PA
NPI1275084121
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA060135)
Enumeration Date2016-10-16
Last Update Date2018-12-10
Business Address
Miss KAILEEN BEVENOUR PA-C
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-614-0837
Mailing Address
Miss KAILEEN BEVENOUR PA-C
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-614-0837
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