Individual
MRS. KATHRYN ELLIS STURDIVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3600 PHILADELPHIA PIKE, CLAYMONT, DE 19703-3108
(302) 798-6632
Mailing address
3600 PHILADELPHIA PIKE, CLAYMONT, DE 19703-3108
(302) 798-6632
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
J3-0000268
DE
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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