Individual
KELLY ANNE SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3485 DAVISVILLE RD, HATBORO, PA 19040-4220
(215) 830-0400
Mailing address
308 CRESTWOOD AVE, FEASTERVILLE TREVOSE, PA 19053-2419
(215) 913-7748
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP020008
PA
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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