Individual
KATHRYN ANNE MCVICAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 CEDAR ST # LMP3088, YALE MEDICAL PEDIATRIC NEUROLOGY, NEW HAVEN, CT 06510-3218
(203) 785-5708
Mailing address
1010 WEST 8TH AVENUE, STE 1, KING OF PRUSSIA, PA 19406-1349
(856) 346-0005
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
77552
CT
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD484991
PA
Other
Enumeration date
02/08/2007
Last updated
05/24/2024
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