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1427083849
KENNETH WISEMAN
PHILADELPHIA, PA
NPI
1427083849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS-004457-L)
Enumeration Date
2006-07-12
Last Update Date
2019-03-06
Business Address
Dr. KENNETH WISEMAN DO
1216 E HUNTING PARK AVE
PHILADELPHIA, PA 19124
Phone number: 215-533-1333
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Mailing Address
Dr. KENNETH WISEMAN DO
1216 E HUNTING PARK AVE
PHILADELPHIA, PA 19124
Phone number: 215-533-1333
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