Individual
BRENDAN JOSEPH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-6932
(215) 662-7899
Mailing address
3400 SPRUCE STREET, SUITE E, PHILADELPHIA, PA 19104-4206
(215) 662-6932
(215) 662-7899
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD445098
PA
Other
Enumeration date
06/05/2008
Last updated
03/12/2013
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