NPI 1235907445

Kevin J Dial, CRSCFRS

Practitioner Peer Specialist Philadelphia, PA

Practice location

Address: 5501 Old York Rd, Philadelphia, PA 19141-3018
Phone: (215) 951-8300

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 14753 (PA)

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Registry record

NPI: 1235907445
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Dec 2023
Record last updated: 18 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.