Individual
KELLY MULHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(800) 879-2467
Mailing address
153 BOWERY LN, DOWNINGTOWN, PA 19335-3159
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA064159
PA
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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