Individual
KRISTIN L KREIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 CIVIC CENTER BLVD, 2ND FLOOR, PHILADELPHIA, PA 19104-5127
(215) 615-5858
Mailing address
3400 CIVIC CENTER BLVD, 2ND FLOOR, PHILADELPHIA, PA 19104-5127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057472
PA
Other
Enumeration date
03/04/2015
Last updated
02/26/2020
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