Individual
KELLI JOERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 E LANCASTER AVE, SUITE 275 LANKENAU MED SCI. BLDG., WYNNEWOOD, PA 19096-3450
(610) 642-1908
(610) 642-6808
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(610) 642-1908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA061001
PA
363AM0700X
Medical Physician Assistant
MA061001
PA
363AS0400X
Surgical Physician Assistant
Primary
MA061001
PA
Other
Enumeration date
03/23/2020
Last updated
11/10/2025
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