Individual
KELLY A. HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST, SUITE 703, PHILADELPHIA, PA 19107-4414
(215) 955-1000
Mailing address
833 CHESTNUT ST, SUITE 703, PHILADELPHIA, PA 19107-4414
(215) 955-1000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
001434
GA
208800000X
Urology Physician
Primary
MD440760
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0238228
—
NJ
05
—
102502096
—
PA
Enumeration date
01/31/2008
Last updated
03/06/2012
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