Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MT209818 | PA |
NPI | 1003298464 |
---|---|
Provider Name | Mrs. Veronika Kinaschuk |
First Address | Chester, PA 19013-3902 |
Second Address | Chester, PA 19013-3902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2015 |
Last Update Date | 05/07/2017 |