Basic Information
| Provider Information | |||||||||
| NPI: | 1265444855 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SIRMONS | ||||||||
| FirstName: | KEVIN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD, NRP, FAAFP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 829641 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191829641 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6723705296 | ||||||||
| FaxNumber: | 2152303725 | ||||||||
| Practice Location | |||||||||
| Address1: | 4259 W SWAMP RD STE 108 | ||||||||
| Address2: | |||||||||
| City: | DOYLESTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189021033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2158628363 | ||||||||
| FaxNumber: | 2152303861 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/12/2006 | ||||||||
| LastUpdateDate: | 06/08/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 146L00000X | 527270 | MN | N | Emergency Medical Service Providers | Emergency Medical Technician, Paramedic | 207P00000X | 47780 | MN | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207Q00000X | MD440260 | PA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 47780 | MN | N | Allopathic & Osteopathic Physicians | Family Medicine | 207P00000X | MD440260 | PA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.