Kenneth L. Kershbaum MD, Facc ,LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD010417E Issued in PA

Legal business name

KENNETH L. KERSHBAUM MD, FACC ,LLC

Practice address

801 Spruce St
Suite 3-E
Philadelphia, PA 19107-5701

Phone

(215) 829-8484

NPI assigned

May 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth Kershbaum, M.D.

Title

Owner

Phone

(215) 829-8484

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871548834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SPRUCE ST",
            "address_2": "SUITE 3-E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075701",
            "telephone_number": "215-829-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SPRUCE ST",
            "address_2": "SUITE 3-E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075701",
            "telephone_number": "215-829-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH L. KERSHBAUM MD, FACC ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERSHBAUM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-829-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD010417E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Kenner- Whitaker, FNP
• Melisa Rosita Kenner, CRNP, PMHNP
• Paula Nadine Kenner, CERTIFIED HAIR LOSS
• Kenneth E Wasserman MD PC
• Kenneth J Soapes, D.M.D & Associate
• Amy Raffety Kennett, RD
• Courtney Kenney, LCSW
• Gillian Kenney
• Lawrence Edward Kenney, M.D.
• Lisa Kenney, DPT

• Cardiovascular Disease Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.