Individual
KERRYN NOELLE MACBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
132 S 10TH ST, PHILADELPHIA, PA 19107-5244
(215) 955-6351
Mailing address
918 LANGDON AVE, HORSHAM, PA 19044-1010
(267) 815-1445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA066160
PA
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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