Provider Demographics
NPI:1043764889
Name:NACZI, KAYLEE (MS)
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:
Last Name:NACZI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:KAYLEE
Other - Middle Name:
Other - Last Name:FAULKNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:4153 CRESSON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19127-1608
Mailing Address - Country:US
Mailing Address - Phone:215-662-3205
Mailing Address - Fax:215-829-3935
Practice Address - Street 1:3600 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4211
Practice Address - Country:US
Practice Address - Phone:215-662-3205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS