Individual provider · Type 1 NPI

Kimberly Nicole Angelina, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1497222871 Active

Practice location

10800 Knights Rd
Philadelphia, PA 19114-4200

Call (215) 612-4000 Map

Mailing address

1921 Fairmount Ave # R12
Philadelphia, PA 19130-2036

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMA060319 (PA)
Medical Physician Assistant Primary 363AM0700XMA060319 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1497222871

Kimberly Nicole Angelina, PA-C's National Provider Identifier is 1497222871, issued on Oct 24, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 18, 2025.