Individual
KETTIA DELISFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11 CARTER AVE, LANGHORNE, PA 19047-5047
(267) 407-2134
Mailing address
11 CARTER AVE, LANGHORNE, PA 19047-5047
(267) 407-2134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP027045
PA
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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