Individual
KELLI B YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN,CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4306
(215) 590-5657
(215) 590-2447
Mailing address
207 PELHAM RD, PHILADELPHIA, PA 19119-2624
(215) 842-0905
(215) 590-2447
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
VP003706O
PA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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