Individual
KAITLYN SUSANNA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3571 HULMEVILLE RD, BENSALEM, PA 19020-4311
(215) 516-7500
Mailing address
3571 HULMEVILLE RD, BENSALEM, PA 19020-4311
(215) 516-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
SP025112
PA
363LF0000X
Family Nurse Practitioner
Primary
SP025112
PA
Other
Enumeration date
07/12/2022
Last updated
09/03/2024
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