Individual
KELLY ELIZABETH MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1701 JFK BLVD FL 25, PHILADELPHIA, PA 19103-2851
(215) 330-2029
Mailing address
248 MCCLELLAN ST, PHILADELPHIA, PA 19148-1919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018728
PA
Other
Enumeration date
05/14/2018
Last updated
12/09/2024
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