Individual
KELLY WHATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
760 W SPROUL RD STE 200, SPRINGFIELD, PA 19064-4005
(215) 462-7100
Mailing address
760 W SPROUL RD STE 200, SPRINGFIELD, PA 19064-4005
(484) 386-6300
(484) 380-3178
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA064757
PA
Other
Enumeration date
06/13/2023
Last updated
01/29/2025
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