Individual
KAELA MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-1000
Mailing address
4534 SPRUCE ST D2, PHILADELPHIA, PA 19139
(703) 899-7659
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA063747
PA
Other
Enumeration date
06/26/2023
Last updated
07/09/2023
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