Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN JOHN WANSOR, PA-C
ActiveMR. KEVIN JOHN WANSOR, PA-C is a Medical Physician Assistant healthcare provider located in UPLAND, Pennsylvania. NPI 1588853675 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · UPLAND, PA
Registration Details
- NPI Number
- 1588853675
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 15, 2007 (18.821632463172 yrs)
- Last Updated
- Dec 20, 2013
- License
-
MA053066 (PA)
Practice Information
- Address
-
30 MEDICAL CENTER BLVD SUITE 303CLINICAL RENAL ASSOCIATES LTDUPLAND, PA, 190133995Browse PA providers · Browse ZIP 19013
- Phone
- 6108728501
- Fax
- 6108725188
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in UPLAND, PA
| Name | Credential | NPI |
|---|---|---|
| BAOTRAM NGOC LUU | PA-C, MPAS | 1194130328 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.