Individual
MRS. KELLY C LOSCALZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1991 SPROUL RD, SUITE 600 LAWRENCE PARK CENTER, BROOMALL, PA 19008-3512
(610) 325-1400
Mailing address
928 S 2ND ST, PHILADELPHIA, PA 19147-4203
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP 013391
PA
Other
Enumeration date
12/17/2013
Last updated
05/24/2016
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