Provider Demographics
NPI:1285832543
Name:SPERLING, KEVIN (MD)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:SPERLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:601 CHADDS FORD DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-7308
Mailing Address - Country:US
Mailing Address - Phone:610-388-0536
Mailing Address - Fax:610-388-0410
Practice Address - Street 1:601 CHADDS FORD DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317
Practice Address - Country:US
Practice Address - Phone:610-388-0536
Practice Address - Fax:610-388-0410
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD431835207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1019351920002Medicaid
113242Medicare PIN