Individual
KELLAN KATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 FAYETTE STREET, SUITE 180, CONSHOHOCKEN, PA 19428
(570) 417-9479
Mailing address
7950 HENRY AVE APT 14C, PHILADELPHIA, PA 19128-7009
(570) 417-9479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
PA
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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