Kennedy, Katie

Kennedy, Katie is an individual health care provider with primary practice located at 3400 Civic Center Blvd , Philadelphia PA 19104-5127. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is her primary health care specialty. Kennedy, Katie can be contacted via phone (215) 590-1997.

Contact Information

Primary practice address
3400 Civic Center Blvd Philadelphia PA 19104-5127
Phone: (215) 590-1997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD456475 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X MD456475 Pennsylvania

Profile Details

NPI number 1588008171
LBN Legal business name Kennedy, Katie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2013
Last updated Jun 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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