Search › Pennsylvania › 390200000X
Kevin Van Derveer, DO
NPI 1245989854 · on the registry since 2022
Practice
- Address
- 4190 City Ave
Philadelphia, PA 19131 - Phone
- (215) 871-6730
- Organisation at this address
- Ent R Net, P A
City Line E.N.T., Pc
City Line Pediatrics
Philadelphia Health & Education Corp
Philadelphia College Of Osteopathic MedicineInferred from a shared address, not stated in the registry. - Clinicians at this address
- 177
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 208600000X
208600000X - Licence states on file
- NJ, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania