Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | OS013390 | PA |
N | 207QS0010X | Family Doctor - Sports Medicine | OS013390 | PA |
NPI | 1275564981 |
---|---|
Provider Name | Stephanie B Kaliner |
First Address | Phoenixville, PA 19460 |
Second Address | Phoenixville, PA 19460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 27/02/2017 |