Individual
KATHLEEN KEDZIORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 S 11TH ST STE 8490, PHILADELPHIA, PA 19107-4824
(215) 955-5843
Mailing address
200 N 16TH ST APT 2322, PHILADELPHIA, PA 19102-1213
(215) 720-0085
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
120952
PA
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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