Individual
MS. KIRA R DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
841 E HUNTING PARK AVE, SUITE 201, PHILADELPHIA, PA 19124-4800
(215) 537-7695
(215) 537-7001
Mailing address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 599-4851
(215) 232-4093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
SP012065
PA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
SP012065
PA
Other
Enumeration date
04/11/2012
Last updated
08/09/2021
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