Individual
KELLI REGENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3737 MARKET ST, PHILADELPHIA, PA 19104-5545
(215) 662-3340
(267) 369-4809
Mailing address
3737 MARKET ST, PHILADELPHIA, PA 19104-5545
(215) 662-3340
(267) 369-4809
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
09/18/2024
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