Individual
MRS. KIERSTEN MCFAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10800 KNIGHTS RD, 2ND FLOOR HEART UNIT, PHILADELPHIA, PA 19114
(267) 350-3155
Mailing address
10800 KNIGHTS RD, 2ND FLOOR HEART UNIT, PHILADELPHIA, PA 19114
(267) 350-3155
(215) 612-5692
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4099
MA
Other
Enumeration date
12/01/2010
Last updated
04/03/2018
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