Individual
KELLEY W JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 N LANSDOWNE AVE, DREXEL HILL, PA 19026-1114
(610) 284-8100
Mailing address
6718 SYLVESTER ST, PHILADELPHIA, PA 19149-2216
(917) 346-1508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058133
PA
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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