Healthcare Provider Details

I. General information

NPI: 1407998255
Provider Name (Legal Business Name): D KATHERINE K KRENTEL APRNBC MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 LANCASTER AVE KAIROS COUNSELING SERVICES SUITE 215
DEVON PA
19333
US

IV. Provider business mailing address

237 LANCASTER AVE KAIROS COUNSELING SERVICES SUITE 215
DEVON PA
19333
US

V. Phone/Fax

Practice location:
  • Phone: 610-995-2800
  • Fax: 610-995-2800
Mailing address:
  • Phone: 610-995-2800
  • Fax: 610-995-2800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number33809L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: