Kendzierski, Renee
Kendzierski, Renee is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Kendzierski, Renee can be contacted via phone (215) 707-7237.Contact Information
Primary practice address
3401 N Broad St
Philadelphia PA 19140
Phone: (215) 707-7237
Fax: (215) 707-9389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | OS010808L | Pennsylvania |
Profile Details
| NPI number | 1952399883 |
|---|---|
| LBN Legal business name | Kendzierski, Renee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Jul 29th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952399883 | NPPES |
| Other | A3738029 | OXFORD HEALTH | |
| MEDICAID | 1010761130001 | OXFORD HEALTH | |
| Other | 60033560 | OXFORD HEALTH | |
| Other | 2851114000 | OXFORD HEALTH | |
| Other | 7464884 | OXFORD HEALTH | |
| Other | 11439458 | OXFORD HEALTH | |
| Other | KE001978102 | OXFORD HEALTH | |
| MEDICAID | 0040533 | OXFORD HEALTH | |
| Other | 1396272 | OXFORD HEALTH |
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