| NPI | 1912308412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KENNEDY Physician 215-541-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP013619) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |