Individual
NICKY KELEPOURIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2300 COMPUTER RD, SUITE H-39, WILLOW GROVE, PA 19090-1752
(215) 675-5200
(215) 657-8083
Mailing address
2300 COMPUTER RD, SUITE H-39, WILLOW GROVE, PA 19090-1752
(215) 675-5200
(215) 657-8083
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD0039830L
PA
Other
Enumeration date
08/09/2005
Last updated
07/08/2007
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