Individual provider · NPI-1

Kevin Ackerman

Pediatrics, Pediatric Allergy/Immunology · Philadelphia, PA

NPI number1255950150
StatusActive
Last updated in NPPESMay 30, 2024

Details

NPI
1255950150
Entity type
Individual (NPI-1)
Name
Kevin Ackerman
Sex
Male
Sole proprietor
No
Enumeration date
Apr 10, 2020
Certification date
May 30, 2024
Last updated
May 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0201X Pediatrics, Pediatric Allergy/ImmunologyMT221188PAYes

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Phone 215-590-1000

Mailing address

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Phone 215-590-2549

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