Provider Demographics
NPI:1740369735
Name:MCGREEVY, KIMBERLY LAUREN (MS, LCGC)
Entity type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:LAUREN
Last Name:MCGREEVY
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 OLD FERN HILL RD
Mailing Address - Street 2:SUITE 503
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4269
Mailing Address - Country:US
Mailing Address - Phone:610-732-6739
Mailing Address - Fax:610-732-6735
Practice Address - Street 1:915 OLD FERN HILL RD
Practice Address - Street 2:SUITE 503
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4269
Practice Address - Country:US
Practice Address - Phone:610-732-6739
Practice Address - Fax:610-732-6735
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAGC000117170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS