Individual
KELLY MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-8187
Mailing address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(609) 529-4115
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP014202
PA
Other
Enumeration date
12/04/2009
Last updated
09/17/2014
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