Individual
JOELISA KHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 316-5151
Mailing address
1500 LOCUST ST APT 2007, PHILADELPHIA, PA 19102-4316
(401) 654-7999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063937
PA
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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