Individual
MARY KATE MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 WALNUT ST FL 2, PHILADELPHIA, PA 19107-5211
(215) 503-2724
Mailing address
909 WALNUT ST FL 2, PHILADELPHIA, PA 19107-5211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SPO20353
PA
Other
Enumeration date
10/14/2019
Last updated
11/25/2019
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