Individual
KELLY GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 294-9456
(215) 222-8646
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 294-9456
(215) 222-8646
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP016971
PA
Other
Enumeration date
10/12/2016
Last updated
02/09/2026
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