Individual
MISS KIA LAUREN TWYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-5864
(215) 707-6860
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-5864
(215) 707-6860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA050753
PA
Other
Enumeration date
02/07/2007
Last updated
04/11/2022
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