Individual
KIMBERLY S DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
(215) 728-2169
Mailing address
5800 RIDGE AVE, PHILADELPHIA, PA 19128-1737
(215) 487-4453
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054597
PA
Other
Enumeration date
11/12/2010
Last updated
06/04/2013
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