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Individual

KIMBERLY ANN SIGNOR-MCCLELLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CRNP

Contact information

Practice address
1427 VINE ST FL 2, PHILADELPHIA, PA 19102-1031
(215) 762-2533
(215) 762-2531
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1320
(215) 255-7822
(215) 255-7825

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP008989
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100939QHR
MEDICARE NUMBER 100939QHR
PA
01
SP008989
CRNP LICENSE NUMBER
PA
Enumeration date
05/25/2006
Last updated
08/31/2016
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