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
Fax: (215) 707-9389
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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