Individual
KELLY DIROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
120 VALLEY GREEN LN STE 510, KING OF PRUSSIA, PA 19406-2080
(484) 324-7171
Mailing address
PO BOX 412, VALLEY FORGE, PA 19481-0412
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP028988
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP028988
PA
Other
Enumeration date
04/15/2024
Last updated
10/13/2024
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