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Individual

KELLY ANNE SPRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
51 NORTH 39TH STREET, PHI, SUITE 2C, PHILADELPHIA, PA 19104-2640
(215) 662-9010
(215) 662-9733
Mailing address
51NORTH 39TH STREET, PHI, SUITE 2C, PHILADELPHIA, PA 19104-2640
(215) 662-9010
(215) 662-9733

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS006513L
PA
207RC0000X
Cardiovascular Disease Physician
Primary
0S006513L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011675290008
PA
Enumeration date
06/27/2006
Last updated
08/24/2012
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