| Doctor Name: | KATHLEEN M ROEDER |
| NPI Number: | 1992031439 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 002007 |
| Business Practice Address: | 301 Bangor Ln Lower Gwynedd, PA - 190022025 |
| Business Phone Number: | 2156204588 |
| Business Fax Number: | |
| Mailing Address: | 301 Bangor Ln, LOWER GWYNEDD |
| State: | PA |
| Postal Code: | 190022025 |
| Phone Number: | 2156204588 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2009 |
| NPI Last Update Date: | 10/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 002007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |