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Individual

KELLI M MCNEELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-5000
Mailing address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-5000

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
1024243
DC
363LP0200X
Pediatric Nurse Practitioner
719890
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
SP017152
PA

Other

Enumeration date
12/23/2011
Last updated
03/13/2017
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