Individual
KYRA BUETTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
709 S 23RD ST APT 3R, PHILADELPHIA, PA 19146-1162
(717) 471-2054
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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