Individual
HALEY DANIELLE KITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1015 WALNUT ST STE 620, PHILADELPHIA, PA 19107-5005
(215) 955-6864
(215) 955-2878
Mailing address
1015 WALNUT ST STE 620, PHILADELPHIA, PA 19107-5005
(215) 955-6864
(215) 955-2878
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT225471
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2022
Last updated
04/22/2022
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