Individual
KYRA PANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST., GROUND SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4238
(215) 662-6698
(215) 662-3953
Mailing address
3400 SPRUCE ST., PHILADELPHIA, PA 19104-4238
(215) 662-6698
(215) 662-3953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA066550
PA
363AM0700X
Medical Physician Assistant
PA9113681
FL
Other
Enumeration date
07/09/2020
Last updated
07/23/2025
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