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Individual

MS. KATELYN E WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
120 PROSPECT STREET, READING, PA 19606
(610) 779-1330
(610) 779-7699
Mailing address
120 PROSPECT STREET, READING, PA 19606
(610) 779-1330
(610) 779-7699

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054647
PA

Other

Enumeration date
12/08/2010
Last updated
02/29/2012
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