Individual
KATRINA MAUREEN KISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1316 W ONTARIO ST, JONES HALL, 10TH FLOOR, RM. 1001, PHILADELPHIA, PA 19140-5220
(215) 707-5435
Mailing address
1709 FITZWATER ST, APT A, PHILADELPHIA, PA 19146-1919
(215) 913-6825
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD451878
PA
Other
Enumeration date
09/27/2011
Last updated
06/12/2019
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