Individual
KERITH DUGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4417 N 6TH ST, PHILADELPHIA, PA 19140-2319
(215) 302-3600
(215) 329-2369
Mailing address
4417 N 6TH ST, PHILADELPHIA, PA 19140-2319
(215) 302-3150
(215) 329-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
R219689
MD
363LP0200X
Pediatric Nurse Practitioner
Primary
SP017254
PA
Other
Enumeration date
12/29/2015
Last updated
08/08/2025
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