Individual
KATHLEEN JEAN MEALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST, PHILADELPHIA, PA 19107-4414
(215) 955-0735
Mailing address
BAYSTATE MEDICAL CENTER 759 CHESTNUT ST, SPRINGFIELD, MA 01199-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD471901
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2016
Last updated
11/01/2020
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