KTM LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

TP005382C Issued in PA

Legal business name

KTM LLC

Practice address

320 Cedar Waxwing Dr
Warrington, PA 18976-3021

Phone

(215) 206-9491

NPI assigned

May 22, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathleen T Murray, CRNP

Title

Owner

Phone

(215) 206-9491

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1053757674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CEDAR WAXWING DRIVE",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "18976",
            "telephone_number": "215-206-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CEDAR WAXWING DR",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189763021",
            "telephone_number": "215-206-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-206-9491",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PA",
            "license": "TP005382C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• William Daniel La Valle, PSY.D.

• General Practice Physician in Warrington, PA
• Providers in Warrington, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.