Individual
KATHARINE BLISS KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1144 LOCUST ST, PHILADELPHIA, PA 19107-6734
(215) 351-5560
Mailing address
1144 LOCUST ST, PHILADELPHIA, PA 19107-6734
(215) 351-5500
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP024521
PA
Other
Enumeration date
10/09/2021
Last updated
05/09/2025
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