Individual
KAYCEE RUNDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4400
Mailing address
1529 SWAIN ST, PHILADELPHIA, PA 19130-2915
(215) 350-7170
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP024663
PA
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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