Individual
MS. LEIGH ERICKSON KINCZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(267) 975-7139
Mailing address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(267) 975-7139
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP015048
PA
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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