Individual
KELLY ELIZABETH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 316-5151
Mailing address
1011 N HANCOCK ST PH 11, PHILADELPHIA, PA 19123-2349
(216) 688-6876
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
AA0003138424
PA
363A00000X
Physician Assistant
Primary
AA0003138424
PA
Other
Enumeration date
08/03/2021
Last updated
06/27/2024
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