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Individual

MRS. KAITLIN L FELDENZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2350 FREEDOM WAY STE 200, YORK, PA 17402-8200
(717) 812-5120
(717) 741-3075
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-5120
(717) 741-3075

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
637937
PA
363L00000X
Nurse Practitioner
Primary
SP018955
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103511661
PA
Enumeration date
05/31/2016
Last updated
04/06/2022
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