Individual
MRS. KELLY MARIE BELLAMY-DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2701 BLAIR MILL RD, WILLOW GROVE, PA 19090-1041
(215) 443-8505
Mailing address
PO BOX 147, FORT WASHINGTON, PA 19034-0147
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
TP006194C
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN293770L
PA
Other
Enumeration date
06/09/2005
Last updated
09/13/2019
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