Individual
KATHERINE ROSE GALLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
51 NORTH 39TH STREET, 3RD FLOOR, PHILADELPHIA, PA 19104-2640
(215) 662-9189
(215) 243-4612
Mailing address
51 NORTH 39TH STREET, 3RD FLOOR, PHILADELPHIA, PA 19104-2640
(215) 662-9189
(215) 243-4612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062216
PA
Other
Enumeration date
12/10/2020
Last updated
10/31/2024
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