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Individual

ANGELA P LEE-KILPATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-5161
(215) 612-4069
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-5161

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT016045
PA
208M00000X
Hospitalist Physician
Primary
OS020111
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT016045
LICENSE
PA
Enumeration date
06/11/2014
Last updated
06/28/2019
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