Individual
KELLEY ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(800) 836-4060
Mailing address
1001 VINE ST APT 1306, PHILADELPHIA, PA 19107-1324
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MT227833
PA
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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