| Kennedy J Sbat Do Fccp Llc | |
|
1569 Medical Dr Ste 203 Pottstown PA 19464-3223 | |
| (484) 645-6534 | |
| (484) 752-4071 |
| Full Name | Kennedy J Sbat Do Fccp Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1569 Medical Dr Ste 203, Pottstown, Pennsylvania |
| Authorized Official Name and Position | Kennedy J. Sbat (PHYSICIAN / OWNER) |
| Authorized Official Contact | 4846456534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy J Sbat Do Fccp Llc 1569 Medical Dr Ste 203 Pottstown PA 19464-3223 Ph: (484) 645-6534 | Kennedy J Sbat Do Fccp Llc 1569 Medical Dr Ste 203 Pottstown PA 19464-3223 Ph: (484) 645-6534 |
| NPI Number | 1972158889 |
|---|---|
| Provider Enumeration Date | 08/07/2019 |
| Last Update Date | 08/17/2023 |
| Medicare PECOS PAC ID | 0446684807 |
|---|---|
| Medicare Enrollment ID | O20191218002291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972158889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kennedy J Sbat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740252402 PECOS PAC ID: 0143310078 Enrollment ID: I20100320000135 |
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