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Individual

KELLYN ELISE WILKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3501 N BROAD ST, PHILADELPHIA, PA 19140-4147
(215) 707-1800
Mailing address
3509 N BROAD ST, BOYER - SUITE 226, PHILADELPHIA, PA 19140-4105
(610) 331-1214

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
OT023106
PA

Other

Enumeration date
06/22/2022
Last updated
11/07/2025
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