Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin J Dial, CRS, CFRS

Individual provider Peer Specialist · NPI 1235907445

Kevin J Dial, CRS, CFRS is a Peer Specialist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2023
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Practice location Address checks out

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone: (215) 951-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 14753 (PA)

Record details

NPI number1235907445
Entity typeIndividual (Type 1)
GenderMale
Credentials CRS , CFRS
Sole proprietorYes
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 9, 2023

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