Individual
KELLY GALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 MALL BLVD STE 100, KING OF PRUSSIA, PA 19406-3261
(800) 346-7834
Mailing address
6 SPRING ST, MEDIA, PA 19063-1505
(610) 762-5396
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
019714
PA
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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