Kevin Wansor, PA-C

NPI 1588853675 · on the registry since 2007

Practice

Address: 30 Medical Center Blvd Suite 303
Clinical Renal Associates Ltd
Upland, PA 19013
Phone: (610) 872-8501
Fax: (610) 872-5188
Organisation at this address: Dr Michael Ryan Pc
Pediatric Associates
Clinical Renal Associates, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 56

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-12-20

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