Individual
KELLY REMBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 W ALLEGHENY AVE, PHILADELPHIA, PA 19133-3644
(215) 291-2500
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 269-0674
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
58595
CA
363AM0700X
Medical Physician Assistant
MA059130
PA
Other
Enumeration date
07/10/2017
Last updated
01/26/2021
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