Individual
KEITH STACY ELSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
230 W WASHINGTON SQ STE 102, PHILADELPHIA, PA 19106-3500
(215) 829-3985
(215) 829-3340
Mailing address
230 W WASHINGTON SQ STE 102, PHILADELPHIA, PA 19106-3500
(215) 829-3985
(215) 829-3340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C5-0000851
DE
363A00000X
Physician Assistant
Primary
MA055901
PA
Other
Enumeration date
11/12/2012
Last updated
12/09/2019
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