| Organization Name: | PREMIER URGENT CARE AT KENNETT SQUARE, LLC |
| NPI Number: | 1326470675 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD M SILVERMAN (CEO) |
| Mailing Address: | 635 Conestoga Rd Villanova |
| State: | PA US |
| Postal Code: | 190851302 |
| Phone Number: | 6107286100 |
| Fax Number: | 6107286071 |
| NPI Enumeration Date: | 08/08/2013 |
| NPI Last Update Date: | 03/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |