Individual
KATHLEEN MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
801 SPRUCE ST, PHILADELPHIA, PA 19107-5701
(215) 829-3000
Mailing address
801 SPRUCE ST, PHILADELPHIA, PA 19107-5701
(215) 829-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP022655
PA
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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