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Contact Information

KEVIN D JUDY, MD
909 WALNUT ST
2ND FLOOR
PHILADELPHIA, PA19107-5211
 Phone: 215-955-7000
 Fax: 215-503-7007
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KEVIN D JUDY · (Male)

NPI # 1144257452
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2006
Last updated 12/17/2014 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD034618E
  • NJ Medicaid 5154502
  • PA Medicaid 0012881300001
Hospital affiliation(s)
  • THOMAS JEFFERSON UNIVERSITY HOSPITAL - (Acute Care)
    111 SOUTH 11TH STREET
    PHILADELPHIA, PA 19107
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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