Individual
KELLY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
4201 HENRY AVE, PHILADELPHIA UNIVERSITY, STUDENT HEALTH CENTER, PHILADELPHIA, PA 19144-5409
(215) 951-2986
(215) 951-6867
Mailing address
4201 HENRY AVE, PHILADELPHIA UNIVERSITY, STUDENT HEALTH CENTER, PHILADELPHIA, PA 19144-5409
(215) 951-2986
(215) 951-6867
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP009541
PA
Other
Enumeration date
03/11/2008
Last updated
01/07/2013
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