Individual
DR. KELSEY GABRIEL DORWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-2000
Mailing address
5112 NEWHALL ST, PHILADELPHIA, PA 19144-4020
(215) 380-1634
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D96689
MD
207P00000X
Emergency Medicine Physician
MT215013
PA
Other
Enumeration date
06/06/2018
Last updated
08/08/2023
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