Individual
KELLY SENOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE STREET, 3 SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4206
(215) 662-3487
Mailing address
3400 SPRUCE STREET, 3 SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4206
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
25MP00890500
NJ
363AS0400X
Surgical Physician Assistant
Primary
MA066023
PA
Other
Enumeration date
10/16/2024
Last updated
04/11/2025
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