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Individual

KIMBERLY A KOPACZEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
120 EMILY ST, PHILADELPHIA, PA 19148-2608
(215) 201-9207

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1033868
DC

Other

Enumeration date
05/24/2021
Last updated
05/24/2021
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