Individual
HELENA INTAN KURNIAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1068 W BALTIMORE PIKE, MEDIA, PA 19063-5104
(484) 227-4280
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS024938
PA
207RN0300X
Nephrology Physician
25MB11944400
NJ
207RN0300X
Nephrology Physician
285135
MA
207RN0300X
Nephrology Physician
ETLL-502
MA
207RN0300X
Nephrology Physician
OS024938
PA
390200000X
Student in an Organized Health Care Education/Training Program
ETLL-502
MA
390200000X
Student in an Organized Health Care Education/Training Program
OT017922
PA
Other
Enumeration date
05/16/2017
Last updated
07/29/2025
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