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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELYN DETWEILER, DO

Active

JACQUELYN DETWEILER, DO is a Pediatrics healthcare provider located in KENNETT SQUARE, Pennsylvania. NPI 1396747994 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · KENNETT SQUARE, PA

Registration Details

NPI Number
1396747994
Provider Type
Individual
Gender
Female
NPI Issued
Aug 12, 2005 (21.036840056244 yrs)
Last Updated
Jun 4, 2015
Licenses
25MB07128100 (NJ)
OS009367L (PA)

Practice Information

Address
891 E BALTIMORE PIKE
KENNETT SQUARE, PA, 193481801
Browse PA providers · Browse ZIP 19348
Phone
6104440113
Fax
6104440744
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in KENNETT SQUARE, PA

Name Credential NPI
DR. JENNIFER LYNN SHRAGER MD 1851374094
SUMATHI SUNDAR MD 1902871239
DR. CAROL LYNNE MARSH MD 1841228699
DR. VENITA KAUL MD 1811911720
DR. HENRY KARCSH MD 1639193543
DR. ELAINE GONZALEZ MD 1679587844
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.