Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 265284 | NY |
N | 207Q00000X | Family Doctor | MD458558 | PA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD458558 | PA |
NPI | 1730425935 |
---|---|
Provider Name | Mrs. Kathleen Genevieve Mechler |
First Address | Philadelphia, PA 19107-4216 |
Second Address | Philadelphia, PA 19107-4216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2012 |
Last Update Date | 13/10/2016 |