| Organization Name: | PERSONAL CARE PEDIATRICS, LLC |
| NPI Number: | 1912308412 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID KENNEDY (PHYSICIAN) |
| Mailing Address: | 925 Main St Ste 100 Pennsburg |
| State: | PA US |
| Postal Code: | 180731631 |
| Phone Number: | 2155411333 |
| Fax Number: | 2155411311 |
| NPI Enumeration Date: | 09/16/2014 |
| NPI Last Update Date: | 09/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | SP013619 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |