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NPI Code Detail

MEDICARE: DR. BERNICE DEKONTEE KEAR MD

MEDICARE:  DR. BERNICE DEKONTEE KEAR  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMT236502PA

General Provider Information

NPI Number : 1558164475
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BERNICE DEKONTEE KEAR MD
Provider Business Mailing Address
First Line : 3401 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-5103
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 60 N 36TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-5639
Country : US
Telephone Number : 540-394-0360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2025
Last Update Date : 05/25/2026

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Directions to “ DR. BERNICE DEKONTEE KEAR MD” Practice Location

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