Individual
ELBY KATUMKEERYIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 CHESTNUT ST STE 1927, PHILADELPHIA, PA 19102-2737
(267) 209-0266
Mailing address
1500 CHESTNUT ST STE 1927, PHILADELPHIA, PA 19102-2737
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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