Individual
KERRI BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1526 LOMBARD ST, PHILADELPHIA, PA 19146-1625
(215) 546-5960
Mailing address
1526 LOMBARD ST, PHILADELPHIA, PA 19146-1625
(215) 546-5960
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
TOP009016
PA
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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