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Individual

KYLA MARIE JORGENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 756-4800
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC PATHOLOGY, PHILADELPHIA, PA 19104
(215) 590-1728

Taxonomy

Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
MT233094
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/09/2021
Last updated
06/11/2025
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