Individual
KATY KINGSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
4897 YORK ROAD, BUCKINGHAM, PA 18912-0278
(215) 794-7471
(215) 794-2576
Mailing address
DH PHYSICIANS PO BOX 829641, PHILADELPHIA, PA 19182-9641
(267) 370-5296
(215) 230-3725
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016901
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP016901
CRNP STATE LICENSE
PA
Enumeration date
12/16/2016
Last updated
01/15/2019
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