Individual
KIM MAYHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(484) 337-8490
(484) 337-4574
Mailing address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(484) 337-8490
(484) 337-4574
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001549L
PA
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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