Lickfeldt, Kathleen

Lickfeldt, Kathleen is an individual health care provider with primary practice located at 930 Germantown Pike , Plymouth Meeting PA 19462-7400. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Lickfeldt, Kathleen can be contacted via phone (484) 476-1000.

Contact Information

Primary practice address
930 Germantown Pike Plymouth Meeting PA 19462-7400
Phone: (484) 476-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 9288359 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP029917 Pennsylvania

Profile Details

NPI number 1821457870
LBN Legal business name Lickfeldt, Kathleen
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2016
Last updated Oct 15th, 2024 - about 2 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 1821457870 NPPES
Florida MEDICAID 025086800
Florida Other V68RY

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