Individual
KATHLEEN A BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 SOUTH 8TH STREET, DUNCAN BLDG SUITE 1B, PHILADELPHIA, PA 19106
(215) 829-5354
(215) 829-7132
Mailing address
301 S. 8TH STREET, STE. 1B, DUNCAN BLDG., PHILADELPHIA, PA 19104
(215) 829-5354
(215) 829-7132
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD055944L
PA
207RI0200X
Infectious Disease Physician
Primary
MD055944L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001569570007
—
PA
Enumeration date
07/07/2006
Last updated
10/10/2012
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