Individual
KELSEY MEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 316-5151
Mailing address
1614 S 9TH ST UNIT 2, PHILADELPHIA, PA 19148-1130
(856) 430-0105
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN698025
PA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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