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1477759264
KATHLEEN HENDERSON
PHILADELPHIA, PA
NPI
1477759264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: PA VP004751X)
Enumeration Date
2007-06-27
Last Update Date
2018-04-30
Business Address
KATHLEEN HENDERSON MSN, CRNP
333 COTTMAN AVE
PHILADELPHIA, PA 19111-2434
Phone number: 215-707-3677
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Mailing Address
KATHLEEN HENDERSON MSN, CRNP
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-453-3300
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