Individual
KIMBERLY YULICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 235-9600
Mailing address
1412-22 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 684-5344
(215) 232-4093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
09/24/2021
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