Individual
LISA C KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5000
Mailing address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059929
PA
Other
Enumeration date
07/24/2018
Last updated
12/19/2018
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