Individual
KIM YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 S BRYN MAWR PL, MEDIA, PA 19063-5337
(484) 442-8429
Mailing address
11 S BRYN MAWR PL, MEDIA, PA 19063-5337
(484) 442-8429
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW012206L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2321336000
IBC
PA
01
—
7752298
AETNA
PA
Enumeration date
11/13/2006
Last updated
08/04/2025
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