Individual
MRS. KATHLEEN A GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4829 STREET RD, TREVOSE, PA 19053
(215) 364-5800
(215) 364-5899
Mailing address
4829 STREET ROAD, TREVOSE, PA 19053
(215) 364-5800
(215) 364-5899
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP016050
PA
Other
Enumeration date
04/06/2016
Last updated
06/24/2020
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