Individual
MS. KIMBERLY A. FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096
(484) 476-2000
Mailing address
P.O. BOX 191, NEMOURS DUPONT PEDIATRICS PROVIDER ENROLLMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN511562L
PA
Other
Enumeration date
01/07/2008
Last updated
06/20/2018
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