Individual
DR. KRISTEN ELIZABETH MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 S. 11TH STREET, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-6226
(215) 923-1562
Mailing address
111 S. 11TH STREET, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-6226
(215) 923-1562
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD437314
PA
2085R0202X
Diagnostic Radiology Physician
MT183930
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247162
—
NJ
05
—
102472442
—
PA
Enumeration date
07/12/2007
Last updated
09/25/2014
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