Individual
MR. KEVIN A SHELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2630 HOLME AVE, 2ND FLOOR, PHILADELPHIA, PA 19152-3004
(267) 339-3500
(267) 339-3763
Mailing address
2630 HOLME AVE, 2ND FLOOR, PHILADELPHIA, PA 19152-3004
(267) 339-3500
(267) 339-3763
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052311
PA
Other
Enumeration date
07/08/2006
Last updated
05/13/2009
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