Provider Demographics
NPI:1558616573
Name:HOWEY, KERRY ANN (MS, ATC, OTC, PA-C)
Entity Type:Individual
Prefix:MS
First Name:KERRY
Middle Name:ANN
Last Name:HOWEY
Suffix:
Gender:F
Credentials:MS, ATC, OTC, PA-C
Other - Prefix:MS
Other - First Name:KERRY
Other - Middle Name:
Other - Last Name:RONAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, ATC, OTC, PA-C
Mailing Address - Street 1:800 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-6130
Mailing Address - Country:US
Mailing Address - Phone:215-662-3340
Mailing Address - Fax:215-349-5890
Practice Address - Street 1:800 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-6130
Practice Address - Country:US
Practice Address - Phone:215-662-3340
Practice Address - Fax:215-349-5890
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00447100363A00000X, 363AS0400X
PAMX029775363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MP00447100OtherSTATE MEDICAL LICENSE