Individual
KATELYN GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 HENRY AVE, PHILADELPHIA, PA 19144-5409
(215) 951-0208
Mailing address
4201 HENRY AVE, PHILADELPHIA, PA 19144-5409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0009537
CO
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
01/12/2026
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