Individual
KAILA DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
13015 SEWELL RD, PHILADELPHIA, PA 19116-1318
(610) 547-4845
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP016523
PA
Other
Enumeration date
01/24/2017
Last updated
12/14/2021
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