Individual
KATHALEEN VINASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1020 WALNUT ST, PHILADELPHIA, PA 19107-5567
(215) 503-6994
Mailing address
1020 WALNUT ST, PHILADELPHIA, PA 19107-5567
(484) 487-1197
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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