Individual
MS. KELLY MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-4189
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-4189
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP027235
PA
Other
Enumeration date
04/25/2023
Last updated
03/19/2024
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