Provider Demographics
NPI:1912152810
Name:AIBEL, KATHRYN LEWALLEN
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LEWALLEN
Last Name:AIBEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 RIGHTERS MILL RD
Mailing Address - Street 2:
Mailing Address - City:GLADWYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19035-1543
Mailing Address - Country:US
Mailing Address - Phone:610-649-1100
Mailing Address - Fax:
Practice Address - Street 1:352 RIGHTERS MILL RD
Practice Address - Street 2:
Practice Address - City:GLADWYNE
Practice Address - State:PA
Practice Address - Zip Code:19035-1543
Practice Address - Country:US
Practice Address - Phone:610-649-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441454183500000X
NC10977183500000X
CTPCT.0007950183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist