Healthcare Provider Details

I. General information

NPI: 1821750076
Provider Name (Legal Business Name): KAITLYN VOREL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 FOULK RD STE 101
WILMINGTON DE
19803-2769
US

IV. Provider business mailing address

1117 TAYLOR AVE
WEST CHESTER PA
19380-6037
US

V. Phone/Fax

Practice location:
  • Phone: 302-655-3242
  • Fax:
Mailing address:
  • Phone: 484-883-9719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberLJ0010407
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP024324
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: