Individual
KIMBERLY VENELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 590-1000
Mailing address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
SP015420
PA
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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