Individual
KELSEY ANN MCCROSSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-8363
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-1324
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133V00000X
Registered Dietitian
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86170614
CDR
PA
Enumeration date
02/09/2023
Last updated
06/17/2023
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