Individual
KAITLYN ANN GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNP, FNP-BC
Contact information
Practice address
333 COTTMAN AVE, DEPARTMENT OF SURGERY, PHILADELPHIA, PA 19111-2434
(215) 728-3097
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 728-3097
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN619347
PA
363LF0000X
Family Nurse Practitioner
Primary
SP016610
PA
Other
Enumeration date
10/03/2016
Last updated
05/01/2018
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