Individual
MS. KATHERINE KILCHMANN BALTAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1003 EASTON RD BLDG C-104, WILLOW GROVE, PA 19090-2027
(267) 979-9524
Mailing address
156 PINE LN, YARDLEY, PA 19067-2814
(267) 979-9524
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP010164
PA
Other
Enumeration date
05/11/2009
Last updated
02/20/2024
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