Individual
MRS. KELLIE M KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
234 MALL BLVD STE G30, KING OF PRUSSIA, PA 19406-2921
(800) 321-9999
(267) 479-1321
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(800) 321-9999
(267) 479-1321
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052712
PA
Other
Enumeration date
10/19/2006
Last updated
06/27/2025
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