Individual
KELLY D HEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4453 CASTOR AVE, SUITE B, PHILADELPHIA, PA 19124-3846
(215) 744-2266
(215) 743-9247
Mailing address
4453 CASTOR AVE, SUITE B, PHILADELPHIA, PA 19124-3846
(215) 744-2266
(215) 743-9247
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
OS012295
PA
Other
Enumeration date
06/08/2006
Last updated
09/08/2011
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