Individual
KIRSTYN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 316-5151
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 316-5151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT231690
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/18/2021
Last updated
08/05/2024
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