Individual
MS. KATHLEEN GILMARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 EAST LANCASTER AVE, WYNNEWOOD, PA 19096
(484) 476-8127
Mailing address
100 EAST LANCASTER AVE, WYNNEWOOD, PA 19096
(484) 476-8127
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP012187
PA
363LF0000X
Family Nurse Practitioner
SP012187
PA
Other
Enumeration date
02/06/2015
Last updated
03/16/2015
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