KATHLEEN ANN VICTOR RN, MSN, CRNP
NPI 1114227964
Nurse Practitioner - Gerontology in Philadelphia, PA

Q: What is Kathleen Victor's NPI number?

The NPI number for Kathleen Victor is 1114227964. It was assigned to this individual provider in the NPPES registry on October 27, 2010.

Q: What is Kathleen Victor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Victor was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2010

1726 SOUTH BROAD STREET, PHILADELPHIA, PA 19145(215) 463-5009 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 3, 2017 (3 updates tracked since 2017).

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About Kathleen Ann Victor Rn, Msn, Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN ANN VICTOR RN, MSN, CRNP (NPI 1114227964) is an individual gerontology provider in Philadelphia, Pennsylvania, licensed in New Jersey (26NN11172100) and active in the NPI registry since October 2010. She maintains a secondary practice location in Turnersville.

NPPES Registry Identity

NPI1114227964

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKATHLEEN ANN VICTORCredential: RN, MSN, CRNP

Location Address1726 SOUTH BROAD STREETPhiladelphia, PA 19145-2300

Mailing Address1726 South Broad StreetPhiladelphia, PA 19145-2300 · (215) 463-5009

Phone(215) 463-5009

Sole ProprietorNo

Enumeration DateOctober 27, 2010

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1114227964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

Licenses✔ Licensed in NJ · 26NN11172100✔ Licensed in PA · SP005334H

Also ListedNurse PractitionerTaxonomy 363L00000X · License 26NN11172100 (NJ)

1726 SOUTH BROAD STREET, Philadelphia, PA 19145

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Secondary Practice Location 1

Location 1151 Fries Mill Rd Ste 301Turnersville, NJ 08012-2016 · Phone (856) 374-1881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Victor's NPI number?

The NPI number for Kathleen Victor is 1114227964. It was assigned to this individual provider in the NPPES registry on October 27, 2010.

Where is Kathleen Victor located?

Kathleen Victor practices at 1726 South Broad Street, Philadelphia, PA 19145. The listed phone number is (215) 463-5009.

What is Kathleen Victor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Kathleen Victor was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.