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Individual
MEGAN KELLY
Active
Individual
MEGAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
VP-003801B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019514240001
—
PA
01
—
16615
BRAVO
PA
01
—
1811989692
HEALTH PARTNERS
PA
01
—
2284177000
BLUE CROSS
PA
Enumeration date
08/18/2005
Last updated
07/15/2016
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