Individual
MS. KC BRYN LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 W TABOR RD FL 4, PHILADELPHIA, PA 19141-3019
(215) 456-3815
(215) 456-6803
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(154) 561-8252
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056031
PA
Other
Enumeration date
01/24/2013
Last updated
12/19/2024
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