Individual
KELLY ANN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3701 MARKET ST, PHILADELPHIA, PA 19104-5502
(215) 662-6100
Mailing address
3701 MARKET ST, PHILADELPHIA, PA 19104-5502
(215) 662-6100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP012655
PA
Other
Enumeration date
05/30/2013
Last updated
03/13/2018
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