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Individual
KELLY JAE DOLPHIN
Active
Individual
KELLY JAE DOLPHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
22481
MD
225100000X
Physical Therapist
Primary
PT019641
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068377000
AMERIHEALTH UNDER IBC
PA
01
—
03182100
CAPITAL BLUE CROSS
PA
01
—
177124
MEDICARE HGS ADMINISTRATORS
PA
01
—
18444
HEALTH AMERICA
PA
01
—
332313
HIGHMARK BLUE SHIELD
PA
01
—
CK4276
PALMETTO GBA RR MEDICARE
PA
Enumeration date
03/20/2008
Last updated
05/28/2009
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