Individual
JELTE KELCHTERMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 425-2959
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 425-2959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME139419
FL
2080P0214X
Pediatric Pulmonology Physician
Primary
MT219698
PA
Other
Enumeration date
04/05/2016
Last updated
06/24/2020
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