Individual
DR. AMANDA GRACE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, ALBERT EINSTEIN MEDICAL CENTER, PHILADELPHIA, PA 19141-3018
(215) 456-3834
Mailing address
18300 ROSCOE BLVD, NORTHRIDGE HOSPITAL MEDICAL CENTER, NORTHRIDGE, CA 91325-4105
(818) 885-5396
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA12368600
NJ
207P00000X
Emergency Medicine Physician
A140443
CA
Other
Enumeration date
06/11/2012
Last updated
12/27/2024
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