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Individual

KELLIE FITZPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
12265 TOWNSEND RD, PHILA, PA 19154-1201
(215) 671-9200
Mailing address
12265 TOWNSEND RD, PHILA, PA 19154-1201
(215) 671-9200

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN511318L
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP034482
PA

Other

Enumeration date
11/01/2025
Last updated
05/02/2026
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