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Individual

KALY R MACCONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1709 N BROAD ST, LANSDALE, PA 19446-1115
(215) 362-5555
(215) 362-6353
Mailing address
1709 N BROAD ST, LANSDALE, PA 19446-1115
(215) 362-5555
(215) 362-6353

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA002538
PA
363AM0700X
Medical Physician Assistant
Primary
MA054607
PA

Other

Enumeration date
10/20/2010
Last updated
11/26/2025
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