National Provider Identifier Database

KENCREST SERVICES
Intellectual & Developmental Disabilities


Contact Information

KENCREST SERVICES
960A HARVEST DR STE 100
BLUE BELL, PA19422-1991
Phone: 610-825-9360
Fax:
Website:
Specialty Taxonomy Code
* Intellectual & Developmental Disabilities 103TM1800X

* Indicates primary specialty

NPI Profile & details for KENCREST SERVICES

NPI Number 1922683473
Legal business name
LBN
KENCREST SERVICES
Authorized official BRANDON ZERR - (DIRECTOR CLIENT FINANCE)
Entity Organization
Organization subpart No
Enumeration date 03/16/2021
Last updated 03/16/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • DE Medicaid: 250570467

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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