Individual
DR. ALICIA ANN MCKELVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 E LANCASTER AVE, SUITE 280 LANKENAU MED SCI BLDG., WYNNEWOOD, PA 19096-3450
(484) 527-0404
(610) 527-0824
Mailing address
100 E LANCASTER AVE, SUITE 280 LANKENAU MED SCI BLDG., WYNNEWOOD, PA 19096-3450
(484) 527-0404
(610) 527-0824
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
042616
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
042616
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD425541
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-2359401
MLHC TAX ID
PA
Enumeration date
02/03/2006
Last updated
11/14/2018
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