Individual
KIERA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2824 WELSH RD UNIT B, PHILADELPHIA, PA 19152-1505
(267) 315-9869
Mailing address
2824 WELSH RD UNIT B, PHILADELPHIA, PA 19152-1505
(267) 315-9869
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831293769
—
PA
Enumeration date
08/13/2018
Last updated
08/13/2018
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