Individual
KRISTINA KITANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3615 CHESTNUT STREET, RALSTON PENN CENTER, PHILADELPHIA, PA 19104-2612
(215) 662-2746
(215) 349-5648
Mailing address
3615 CHESTNUT STREET, RALSTON PENN CENTER, PHILADELPHIA, PA 19104-2612
(215) 662-2746
(215) 349-5648
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00636400
NJ
363LF0000X
Family Nurse Practitioner
Primary
SP016082
PA
Other
Enumeration date
08/02/2017
Last updated
06/21/2022
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