Individual
KELSEY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S 43RD ST, PHILADELPHIA, PA 19104-4418
(610) 502-4531
Mailing address
101 MANOR LN E, YARDLEY, PA 19067-1811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/23/2023
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