Individual
MS. ANNE MARIE KENNISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
1952 DURFOR ST FL 2, PHILADELPHIA, PA 19145-3611
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP033120
PA
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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