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Contact Information

KENCREST SERVICES
960A HARVEST DR STE 100
BLUE BELL, PA19422-1991
 Phone: 610-825-9360
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KENCREST SERVICES

NPI Number 1922683473
LBN Legal business name KENCREST SERVICES
Authorized official BRANDON ZERR - (DIRECTOR CLIENT FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2021
Last updated 03/16/2021 - About 5 years ago
Identifiers
DE Medicaid 250570467
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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