Kevin John Wansor is a Medical in Upland, Pennsylvania. Kevin John Wansor practices all healthcare services and medical treatments related to Medical. The NPI Number for Kevin John Wansor is 1588853675. The last update date is 2013-12-20.
Kevin John Wansor's current location address is 30 Medical Center Blvd Suite 303, Upland, Pennsylvania. You can contact this provider via phone number 6108728501 and fax number 6108725188. The mailing address for Kevin John Wansor is 30 Medical Center Blvd Suite 303, Upland, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin John Wansor |
|---|---|
| Address | 30 Medical Center Blvd Suite 303, Upland, Pennsylvania |
| Phone Number | 6108728501 |
| Fax Number | 6108725188 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1588853675 |
|---|---|
| Provider Enumeration Date | 2007-10-15 |
| Last Updated Date | 2013-12-20 |
Provider Mailing Address Detail
| Address | 30 Medical Center Blvd Suite 303 |
|---|---|
| City | Upland |
| State | Pennsylvania (PA) |
| Post Code | 190133995 |
| Phone Number | 6108728501 |
| Fax Number | 6108725188 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | MA053066 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kevin John Wansor by the Centers for Medicare & Medicaid Services?
The Kevin John Wansor has been assigned the NPI (National Provider Identifier) 1588853675 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kevin John Wansor's physical address?
The Kevin John Wansor is physically located at 30 Medical Center Blvd Suite 303, in the city of Upland, PA, with the postal code 190133995.
What is Kevin John Wansor's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kevin John Wansor is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588853675 to Kevin John Wansor?
The Centers for Medicare & Medicaid Services originally issued the 1588853675 to Kevin John Wansor on 2007-10-15.
When was the Kevin John Wansor's information last updated?
The Kevin John Wansor's information was last updated on 2013-12-20.