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Individual

KIMBERLIN TRAUTHWEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4204
(215) 615-0063
(215) 349-8144
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4204
(215) 615-0063
(215) 349-8144

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062376
PA

Other

Enumeration date
01/27/2021
Last updated
12/23/2021
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