Individual
MRS. KATHERINE LOUISA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-3481
Mailing address
34 COLUMBIA AVE, PITMAN, NJ 08071-1518
(856) 364-0051
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
SP015643
PA
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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