Mack, Kathleen Theresa
Mack, Kathleen Theresa is an individual health care provider with primary practice located at 1560 Garrett Rd , Upper Darby PA 19082-4516. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mack, Kathleen Theresa can be contacted via phone (610) 638-1076.Contact Information
Primary practice address
1560 Garrett Rd
Upper Darby PA 19082-4516
Phone: (610) 638-1076
Fax: (610) 638-1085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP008049 | Pennsylvania |
Profile Details
| NPI number | 1932352002 |
|---|---|
| LBN Legal business name | Mack, Kathleen Theresa |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2008 |
| Last updated | May 13th, 2014 - about 12 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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