Kick, Preston James
Kick, Preston James is an sole proprietor health care provider with primary practice located at 605 West State Street , Media PA 19063-2620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kick, Preston James can be contacted via phone (301) 752-8529.Contact Information
Primary practice address
605 West State Street
Media PA 19063-2620
Phone: (301) 752-8529
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS022514 | Pennsylvania |
Profile Details
| NPI number | 1164806048 |
|---|---|
| LBN Legal business name | Kick, Preston James |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2015 |
| Last updated | Nov 11th, 2024 - about 2 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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