Individual
KATHRYN ELAINE VANDERHEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 HENRY AVE, ONE FALLS CENTER, PHILA, PA 19129-1121
(215) 842-7415
(215) 848-1355
Mailing address
3300 HENRY AVE, ONE FALLS CENTER, PHILA, PA 19129-1121
(215) 842-7415
(215) 848-1355
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD02559ZE
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001613928
—
PA
01
—
189872
HIGHMARK BLUE SHIELD
PA
01
—
5388055
AETNA PPO
PA
Enumeration date
12/30/2005
Last updated
07/26/2011
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