Individual
KATHLEEN GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE STREET, 4TH FLOOR SILVERSTEIN, PHILADELPHIA, PA 19104-4206
(215) 662-2078
(215) 615-0471
Mailing address
3400 SPRUCE STREET, 4TH FLOOR SILVERSTEIN, PHILADELPHIA, PA 19104-4206
(215) 662-2078
(215) 615-0471
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062784
PA
Other
Enumeration date
07/22/2021
Last updated
03/26/2024
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