Individual
KIMBERLY ANN TACCONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
4110 INDEPENDENCE DR, STE 300, SCHNECKSVILLE, PA 18078
(610) 769-4200
(610) 769-4204
Mailing address
4110 INDEPENDENCE DR, STE 300, SCHNECKSVILLE, PA 18078
(610) 769-4200
(610) 769-4204
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002219L
PA
Other
Enumeration date
02/24/2006
Last updated
10/27/2014
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