| Jefferson Community Physicians - Kairys | |
|
2301 S Broad St Philadelphia PA 19148-3542 | |
| (215) 952-9936 | |
| (215) 952-1247 |
| Full Name | Jefferson Community Physicians - Kairys |
|---|---|
| Speciality | Family Medicine |
| Location | 2301 S Broad St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Dawn Padgett (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2159551175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Community Physicians - Kairys Po Box 828937 Philadelphia PA 19182-8937 Ph: (215) 503-1240 | Jefferson Community Physicians - Kairys 2301 S Broad St Philadelphia PA 19148-3542 Ph: (215) 952-9936 |
| NPI Number | 1033575352 |
|---|---|
| Provider Enumeration Date | 01/04/2016 |
| Last Update Date | 06/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033575352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (Pennsylvania) | Secondary |
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