| 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: Medicare Enrolled Practice Location: 4115 Chichester Ave, Upper Chichester, PA 19061 Phone: 610-484-4422 |