Individual
MRS. KATHY M SAKAUTZKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
14425 BUSTLETON AVE, PHILADELPHIA, PA 19116-1177
(215) 464-9599
(215) 464-7865
Mailing address
14425 BUSTLETON AVE, PHILADELPHIA, PA 19116-1177
(215) 464-9599
(215) 464-7865
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP005116C
PA
363LF0000X
Family Nurse Practitioner
SP005454B
PA
Other
Enumeration date
09/14/2005
Last updated
09/11/2025
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