Individual provider · Type 1 NPI
Mary Kimmitt Laxton, DHSC, PA-C
Medical Physician Assistant · Swarthmore, PA
NPI number
1902997349
Active
Practice location
97 Dartmouth Ave
Swarthmore, PA 19081-1617
Other practice locations
- 97 Dartmouth Ave, Swarthmore, PA 19081-1617 · (610) 996-5416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA002532L (PA) |
| Physician Assistant | 363A00000X | MA002532L (PA) |
Medical Physician Assistant: Definition to come...
About NPI 1902997349
Mary Kimmitt Laxton, DHSC, PA-C's National Provider Identifier is 1902997349, issued on Sep 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Swarthmore, PA. The record was last updated on May 8, 2024.