KISHA VANTERPOOL

PHILADELPHIA, PA
NPI1821103995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: PA  MD429577)
Additional Taxonomies207R00000X Internal Medicine
(Licence: PA  MD429577)
208M00000X Hospitalist
(Licence: IL  036139805)
Enumeration Date2006-08-20
Last Update Date2021-03-29
Business Address
KISHA VANTERPOOL MD
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-9403
Mailing Address
KISHA VANTERPOOL MD
5410 MARYLAND WAY SUITE 300
BRENTWOOD, TN 37027-5064
Phone number: 615-377-5652