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Individual

KRISTY L KEYOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
51 N 39TH ST, MOB SUITE 300, PHILADELPHIA, PA 19104-2640
(215) 662-8699
Mailing address
51 N 39TH ST, MOB SUITE 300, PHILADELPHIA, PA 19104-2640
(215) 662-8699

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP010242
PA

Other

Enumeration date
08/18/2009
Last updated
10/22/2014
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