Individual
KIMBERLY ANN MALECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2096
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2096
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MAO56944
PA
Other
Enumeration date
07/07/2014
Last updated
08/14/2014
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