Individual
KELLI PUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
130 SOUTH BRYN MAWR AVENUE, FLOOR THREE, BRYN MAWR, PA 19010
(484) 337-3000
(610) 527-5102
Mailing address
411 BERRY LN, MEDIA, PA 19063-1160
(610) 566-5284
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN317545L
PA
Other
Enumeration date
07/07/2005
Last updated
03/21/2016
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