Individual
KELLY NICOLE MCNELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
140 CHESTNUT DR, RICHBORO, PA 18954-1533
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
130371
PA
Other
Enumeration date
01/16/2020
Last updated
02/26/2026
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