Individual
ALISON NICOLE KOURLESIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8835 GERMANTOWN AVE, PHILADELPHIA, PA 19118-2765
(215) 248-8200
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062709
PA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
01/22/2026
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