Individual provider · Type 1 NPI
Kiara Michelle Lopez de Latchum, PA-C
Medical Physician Assistant · Temple, PA
NPI number
1063924181
Active
Practice location
4301 5th Street Hwy Ste 101
Temple, PA 19560-1739
Fax (610) 898-1336
Mailing address
1420 Lancaster Ave
Reading, PA 19607-1540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA059530 (PA) |
Medical Physician Assistant: Definition to come...
About NPI 1063924181
Kiara Michelle Lopez de Latchum, PA-C's National Provider Identifier is 1063924181, issued on Oct 30, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Temple, PA. The record was last updated on Sep 22, 2024.