Individual
KERRY DERMODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
900 WALNUT ST, PHILADELPHIA, PA 19107-5191
(215) 955-1533
Mailing address
900 WALNUT ST, PHILADELPHIA, PA 19107-5191
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP022919
PA
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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