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Individual

DR. KATHRYN TICEHURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2425
Mailing address
3600 FORBES AVE STE 140, PITTSBURGH, PA 15213-3410

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA11543400
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/11/2017
Last updated
10/04/2022
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