Individual
DR. KELLY L HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
160 E ERIE AVE, PHARMACY DEPARTMENT, PHILADELPHIA, PA 19134-1011
(215) 427-5313
Mailing address
4055 RIDGE AVE, APT 6307, PHILADELPHIA, PA 19129-1576
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
RP446707
PA
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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