Individual
MRS. KELLY SUE BAINBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3601 A ST, PHILADELPHIA, PA 19134-1043
(215) 427-5156
Mailing address
354 BRIGHTON RD, PLYMOUTH MEETING, PA 19462-7134
(610) 277-2197
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP007572
PA
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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