Individual
KELSEY CAKANAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3601 A ST, PHILADELPHIA, PA 19134-1043
(215) 427-8100
Mailing address
2028 RITTENHOUSE SQ APT 103, PHILADELPHIA, PA 19103-5621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN687157
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
SP021321
PA
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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