Individual
KATHLEEN DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(800) 789-7366
Mailing address
340 GINGER RD, HUNTINGDON VALLEY, PA 19006-6735
(215) 873-9008
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA060956
PA
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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