Individual
DR. MAUREEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
815 LOCUST ST, PHILADELPHIA, PA 19107-5504
(215) 922-2066
Mailing address
815 LOCUST ST, PHILADELPHIA, PA 19107-5504
(215) 922-2066
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
MD047210L
PA
207VG0400X
Gynecology Physician
Primary
MD047210L
PA
Other
Enumeration date
01/03/2007
Last updated
09/11/2025
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