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Individual

KAY K WIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141
(215) 572-5200
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 572-5200

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD463948
PA
390200000X
Student in an Organized Health Care Education/Training Program
210156
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3828315
HIGHMARK TRAD
PA
Enumeration date
08/12/2013
Last updated
08/15/2018
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