Individual
KELLEY A CULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, SOUTH PAVILION, 3RD FLOOR, PHILADELPHIA, PA 19104-5127
(215) 662-4660
Mailing address
3400 CIVIC CENTER BLVD, SOUTH PAVILION, 3RD FLOOR, PHILADELPHIA, PA 19104-5127
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP015551
PA
Other
Enumeration date
10/14/2015
Last updated
05/20/2016
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