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Individual

KELSEA LEIGH-ANNE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
6608 CASTOR AVE, PHILADELPHIA, PA 19149-2120
(215) 275-8890
Mailing address
6703 WOOLSTON AVE, PHILADELPHIA, PA 19138-2628
(215) 275-8890

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
SP032351
PA

Other

Enumeration date
05/14/2025
Last updated
05/14/2025
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