Individual
DR. CECILIA CLARKE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 CHESTNUT ST, PHILADELPHIA, PA 19107-3612
(215) 955-8900
(215) 955-5245
Mailing address
132 S 10TH ST, 480 MAIN BUILDING, PHILADELPHIA, PA 19107-5244
(215) 955-8900
(215) 955-5245
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD455244
PA
207R00000X
Internal Medicine Physician
MT195023
PA
Other
Enumeration date
06/10/2009
Last updated
10/28/2024
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