Individual
KIMBERLY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
600 S 43RD ST, PHILADELPHIA, PA 19104-4418
(215) 596-7140
Mailing address
600 S 43RD ST, PHILADELPHIA, PA 19104-4418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
08/01/2025
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