Most Relevant Information
Provider Data
| NPI Number: | 1003699364 |
| Provider Name: | KIMBERLEY ANN WESOLOWSKI |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | SP028055 |
Most Important Dates
| Enumeration Date: | 08/18/2023 |
| Last Updated: | 08/18/2023 |
Provider Practice Location
300 EVERGREEN DR
GLEN MILLS
PA
193421059
Practice Location Phone/Fax
| Phone: | 6105581934 |
| Fax: |
Provider Mailing Location
207 N BROAD ST FL 3
PHILADELPHIA
PA
191071500
Provider Mailing Phone/Fax
| Phone: | 6105793579 |
| Fax: | 6105793580 |