Individual
KYLIE ANN KANZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
WYNNEWOOD HOUSE, 300 LANCASTER AVE., SUITE 201B, WYNNEWOOD, PA 19096
(267) 437-3299
(215) 848-1600
Mailing address
WYNNEWOOD HOUSE, 300 LANCASTER AVE., SUITE 201B, WYNNEWOOD, PA 19096
(267) 437-3299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47691
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS018845
MEDICAL LICENSING BOARD
PA
Enumeration date
06/12/2007
Last updated
06/11/2020
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