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Individual

MRS. KELLY MASSOP-MCALLISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
1916 N UBER ST, PHILADELPHIA, PA 19121-2229
(347) 366-6584
Mailing address
1916 N UBER ST, PHILADELPHIA, PA 19121-2229

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
96891
NY
163WN0002X
Neonatal Intensive Care Registered Nurse
559592
NY
163WX0003X
Inpatient Obstetric Registered Nurse
559592
NY

Other

Enumeration date
06/13/2022
Last updated
06/13/2022
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