MR. Kevin John Wansor, PA-C
NPI #1588853675 in Upland, Pennsylvania
Provider Information
- NPI Number
- 1588853675
- Entity Type
- Individual
- Name
- MR. Kevin John Wansor, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Oct 15, 2007
- Last Updated
- Dec 20, 2013
Practice Location
- Address
- 30 MEDICAL CENTER BLVD SUITE 303
- Address 2
- CLINICAL RENAL ASSOCIATES LTD
- City
- Upland
- State
- Pennsylvania
- ZIP Code
- 19013-3995
- Phone
- (610) 872-8501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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