Wieliczko, Kathy L

Wieliczko, Kathy L is an individual health care provider with primary practice located at 1St Floor Wood Center 34Th & Civic Center Blvd, Philadelphia PA 19104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wieliczko, Kathy L can be contacted via phone (215) 590-3440.

Contact Information

Primary practice address
1St Floor Wood Center 34Th & Civic Center Blvd Philadelphia PA 19104
Phone: (215) 590-3440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP059690 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 26NR09657400 New Jersey

Profile Details

NPI number 1689665952
LBN Legal business name Wieliczko, Kathy L
Credentials MSN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Aug 14th, 2007 - about 19 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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