Individual
KELLY DIGREGORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 W 14TH ST, WILMINGTON, DE 19801-1013
(302) 320-4175
(302) 320-6403
Mailing address
1107 MANTUA PIKE STE 720-220, MANTUA, NJ 08051-1606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00456300
NJ
363A00000X
Physician Assistant
C5-0012391
DE
363A00000X
Physician Assistant
MA067442
PA
Other
Enumeration date
11/20/2017
Last updated
05/17/2026
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