Individual
MRS. KERRY MART WYMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
34TH STREET & CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104
(215) 590-2754
Mailing address
103 HANOVER CT, CHESTERBROOK, PA 19087-5705
(732) 801-8708
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP009303
PA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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