Provider Demographics
NPI:1710701768
Name:FRANKFORD HEALTH ASSOCIATES LLC
Entity type:Organization
Organization Name:FRANKFORD HEALTH ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-332-4770
Mailing Address - Street 1:1201 BUCK RD STE 203
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-2381
Mailing Address - Country:US
Mailing Address - Phone:215-332-4770
Mailing Address - Fax:
Practice Address - Street 1:1201 BUCK RD STE 203
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-2381
Practice Address - Country:US
Practice Address - Phone:215-332-4770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANKFORD HEALTH ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Multi-Specialty