Healthcare Provider Details

I. General information

NPI: 1932219052
Provider Name (Legal Business Name): KINDRED HOSPITALS EAST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6129 PALMETTO ST
PHILADELPHIA PA
19111-5729
US

IV. Provider business mailing address

6129 PALMETTO ST
PHILADELPHIA PA
19111-5729
US

V. Phone/Fax

Practice location:
  • Phone: 215-722-8555
  • Fax:
Mailing address:
  • Phone: 215-722-8555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number120101
License Number StatePA

VIII. Authorized Official

Name: MARGARET MARY MURPHY
Title or Position: CEO
Credential:
Phone: 215-722-8555