Provider Demographics
NPI:1508866294
Name:KAMPHERSTEIN, JILL CHRISTINE (PA)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:CHRISTINE
Last Name:KAMPHERSTEIN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1047 OLD YORK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-4617
Mailing Address - Country:US
Mailing Address - Phone:215-886-1240
Mailing Address - Fax:215-886-7591
Practice Address - Street 1:1047 OLD YORK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-4617
Practice Address - Country:US
Practice Address - Phone:215-886-1240
Practice Address - Fax:215-886-7591
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA050790363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical