Individual
MISS KIMBERLY ANN WHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
814 YARROW ST, BRYN MAWR, PA 19010-3525
(610) 246-7011
Mailing address
201 N WAYNE AVE, WAYNE, PA 19087-3530
(610) 525-4300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001673A
PA
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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