Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine Tardy

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376170050

Katherine Tardy is a Student in an Organized Health Care Education/Training Program in Wynnewood, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone: (484) 476-2658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MT220255 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376170050
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address100 E. Lancaster Avenue, Mob South 422, Wynnewood, PA 19096

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