Individual
KELSEY BRYN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(484) 337-3583
Mailing address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(484) 337-3583
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058878
PA
363A00000X
Physician Assistant
OA004073
PA
Other
Enumeration date
02/06/2017
Last updated
01/11/2022
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