Individual
MARY F KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
330 S 9TH ST, PHILADELPHIA, PA 19107-6103
(215) 829-3053
Mailing address
330 S 9TH ST, PHILADELPHIA, PA 19107-6103
(215) 829-3053
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
VP002188H
PA
Other
Enumeration date
03/11/2010
Last updated
04/04/2014
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