Kailey Dittus

NPI #1336833227 in Pennsburg, Pennsylvania

Provider Information

NPI Number: 1336833227
Entity Type: Individual
Name: Kailey Dittus
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 5, 2023
Last Updated: Jun 5, 2023

Practice Location

Address: 530 MACOBY ST
City: Pennsburg
State: Pennsylvania
ZIP Code: 18073-1112
Phone: (215) 679-8076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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