Individual
MS. KIERSTIN NOEL KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CGC
Contact information
Practice address
3501 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA CTRB 6100, PHILADELPHIA, PA 19104-3820
(267) 425-3069
Mailing address
3501 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA CTRB 6100, PHILADELPHIA, PA 19104-3820
(267) 425-3069
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000286
PA
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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