Individual
DR. STANISLAV KELNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 LANSDOWNE AVE, DARBY, PA 19023-1200
(224) 628-9238
Mailing address
429 DALMAS AVE, FOLCROFT, PA 19032-1217
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME140876
FL
207R00000X
Internal Medicine Physician
MT194433
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT194433
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE
PA
Enumeration date
08/31/2009
Last updated
02/27/2020
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