Individual
MR. KEVIN V. KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCO
Contact information
Practice address
117 S 17TH ST, SUITE 1902, PHILADELPHIA, PA 19103-5025
(215) 567-1377
(215) 567-5314
Mailing address
117 S 17TH ST, SUITE 1902, PHILADELPHIA, PA 19103-5025
(215) 567-1377
(215) 567-5314
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
12/13/2007
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