Individual
KELLEY L WOLCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 OLD YORK RD, ABINGTON, PA 19001-3720
(215) 481-2000
Mailing address
2170 E SERGEANT ST, PHILADELPHIA, PA 19125-2238
(570) 762-4814
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP022900
PA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
SP022900
PA
Other
Enumeration date
05/28/2021
Last updated
06/24/2021
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