Individual
KAITLYN ROSE RUBNITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-2708
Mailing address
3401 CIVIC CENTER BLVD FL CENTER8, PHILADELPHIA, PA 19104-4319
(215) 590-2708
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA062448
PA
363AS0400X
Surgical Physician Assistant
Primary
MA062448
PA
Other
Enumeration date
09/01/2020
Last updated
04/01/2024
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