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NPI Code Detail

MEDICARE: KATHRYN JOY CALOS FNP

MEDICARE: KATHRYN JOY CALOS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP029359PA

General Provider Information

NPI Number : 1174382014
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN JOY CALOS FNP
Provider Business Mailing Address
First Line : 101 E STATE ST
Second Line :
City : KENNETT SQUARE
State : PA
Zip : 19348-3109
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1105 PERRY HWY
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-2114
Country : US
Telephone Number : 412-556-7125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2024
Last Update Date : 02/23/2026

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