Individual
KELLY AUSTIN
Active
Individual
KELLY AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
MD073988L
PA
Other
Enumeration date
08/17/2005
Last updated
06/03/2021
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