Individual
KATHRYN JANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
130 S 9TH ST, 6TH FLOOR EDISON, PHILADELPHIA, PA 19107-5233
(215) 503-0137
Mailing address
130 S 9TH ST, 6TH FLOOR EDISON, PHILADELPHIA, PA 19107-5233
(215) 503-0137
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051145
PA
Other
Enumeration date
07/07/2006
Last updated
10/02/2012
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