Individual
KATE E WALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHCA EMERGENCY MED, PHILADELPHIA, PA 19104-4319
(215) 590-1944
(215) 590-4454
Mailing address
100 E PENN SQ, CHCA EMERGENCY MED, PHILADELPHIA, PA 19107-3323
(267) 425-9232
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD455228
PA
Other
Enumeration date
05/25/2012
Last updated
01/19/2016
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