Individual
KELLY O BIEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3900 WOODLAND AVE, PHILA, PA 19104-4551
(215) 823-5800
(215) 823-4545
Mailing address
3900 WOODLAND AVE, PHILA, PA 19104-4551
(215) 823-5800
(215) 823-4545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
VP006649B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942554308
CRESCENZ VA MEDICAL CENTER
PA
01
—
232669309
GROUP TAX ID
PA
Enumeration date
12/26/2006
Last updated
10/22/2018
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