Individual
CARA L KITAEFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
605 W STATE ST, MEDIA, PA 19063-2620
(610) 565-8600
Mailing address
605 W STATE ST, MEDIA, PA 19063-2620
(610) 565-8600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057710
PA
Other
Enumeration date
04/11/2012
Last updated
10/19/2015
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