Individual
KELLY M HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 LOMBARD STREET, 1ST FLOOR, PHILADELPHIA, PA 19146
(215) 662-3259
Mailing address
1800 LOMBARD STREET, 1ST FLOOR, PHILADELPHIA, PA 19146
(215) 662-3259
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
25MA07885100
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD450449
PA
Other
Enumeration date
06/12/2007
Last updated
01/13/2014
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