Individual
LAUREN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
255 W LANCASTER AVE STE 330, PAOLI, PA 19301-1766
(484) 565-1600
(484) 565-8814
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 565-1600
(484) 565-8814
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP020054
PA
363LF0000X
Family Nurse Practitioner
Primary
SP020054
PA
Other
Enumeration date
03/14/2019
Last updated
02/07/2026
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