Hayward, Kathleen

Hayward, Kathleen is an individual health care provider with primary practice located at 5501 Old York Road , Philadelphia PA 19141. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Hayward, Kathleen can be contacted via phone (215) 456-6679.

Contact Information

Primary practice address
5501 Old York Road Philadelphia PA 19141
Phone: (215) 456-6679
Fax: (215) 456-8502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD057409L Pennsylvania

Profile Details

NPI number 1134186422
LBN Legal business name Hayward, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Feb 12th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134186422 NPPES
Pennsylvania MEDICAID 001555000

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