Individual
KELLY DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-4000
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD482276
PA
207RI0200X
Infectious Disease Physician
Primary
MD482276
PA
Other
Enumeration date
03/20/2019
Last updated
10/04/2023
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