Individual
DR. KELLY JOY KISHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 E LANCASTER AVE, BRYN MAWR, PA 19010-2616
(610) 519-1920
Mailing address
1 GOLF RD, HAVERTOWN, PA 19083-3706
(610) 368-4029
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP441089
PA
Other
Enumeration date
12/27/2020
Last updated
12/27/2020
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