| Kadiatou Dabo, | |
|
113 Louise Dr, Upper Chichester, PA 19061-2488 | |
| (703) 395-1210 | |
| Not Available |
| Full Name | Kadiatou Dabo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 113 Louise Dr, Upper Chichester, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417728395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP028968 (Pennsylvania) | Primary |
| Entity Name | Inpatient Consultants Of Pennsylvania Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033376231 PECOS PAC ID: 0244305597 Enrollment ID: O20080820000658 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191216001523 |
| Entity Name | Nj Pacs 2 Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740766195 PECOS PAC ID: 4486903705 Enrollment ID: O20210203001172 |
| Entity Name | Cs Pacs 3 Northeast, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093598898 PECOS PAC ID: 0941656607 Enrollment ID: O20240816000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Kadiatou Dabo, 113 Louise Dr, Upper Chichester, PA 19061-2488 Ph: (703) 395-1210 | Kadiatou Dabo, 113 Louise Dr, Upper Chichester, PA 19061-2488 Ph: (703) 395-1210 |
Diane Marie Coughlan, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4115 Chichester Ave, Upper Chichester, PA 19061 Phone: 610-484-4422 |