Individual
KAYLEY ELIZABETH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(402) 559-8943
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
208000000X
Pediatrics Physician
Primary
MT237598
PA
Other
Enumeration date
02/04/2025
Last updated
06/02/2026
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