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1528163516
KATHLEEN JEAN KIRK
PHILADELPHIA, PA
NPI
1528163516
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Former Name
KATHLEEN JEAN MACEK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: PA TP001424H)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
-- KATHLEEN JEAN KIRK CRNP
3461 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4302
Phone number: 215-823-4528
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Mailing Address
-- KATHLEEN JEAN KIRK CRNP
4115 KOTTLER DR
LAFAYETTE HILL, PA 19444-1505
Phone number: 215-233-9264
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