Individual
MISS KELLY ANNE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34TH STREET & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104-4399
(856) 906-2149
Mailing address
511 QUINCY DR, TURNERSVILLE, NJ 08012-1223
(856) 906-2149
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP011991
PA
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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