Individual
KAI A PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
51 NORTH 39TH STREET, 7TH MUTCH BLDG, PHILADELPHIA, PA 19104-2640
(215) 662-8777
(215) 471-2929
Mailing address
51 NORTH 39TH STREET, 7TH MUTCH BLDG, PHILADELPHIA, PA 19104-2640
(215) 662-8777
(215) 471-2929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD436090
PA
207Q00000X
Family Medicine Physician
MT188720
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102313482
—
PA
Enumeration date
12/14/2006
Last updated
12/05/2011
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