Individual
KELLY HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,CRNP
Contact information
Practice address
1233 LOCUST ST, SUITE 400, PHILADELPHIA, PA 19107-5453
(215) 545-8188
Mailing address
2105 MONTROSE ST, PHILADELPHIA, PA 19146-2527
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP014492
PA
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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