Individual
KELLY MORANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5600 CHESTNUT ST, PHILADELPHIA, PA 19139-3232
(215) 747-4511
Mailing address
5600 CHESTNUT ST, PHILADELPHIA, PA 19139-3232
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP025118
PA
Other
Enumeration date
01/26/2022
Last updated
03/07/2022
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