Individual
KIMBERLY A KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
310 FARM LN, DOYLESTOWN, PA 18901-4732
(215) 348-3990
(215) 348-7705
Mailing address
310 FARM LN, DOYLESTOWN, PA 18901-4732
(215) 348-3990
(215) 348-7705
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN332145L
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
TP006953C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001435061
PERSONAL CHOICE 65
—
01
—
007302
AETNA PPO MANAGED CARE
—
01
—
1058232
KEYSTONE MERCY HEALTH PLA
—
01
—
21198960001
KEYSTONE HEALTH PLAN EAST
—
01
—
2119896001
AMERIHEALTH HMO
—
01
—
278862
MAMSI
—
01
—
4708888939
DEVON
—
01
—
470888939
PHCS
—
01
—
598899143
MULTI PLAN
—
01
—
CK4397
MEDICARE RAILROAD
—
01
—
P543147
OXFORD
—
01
—
PC0140
HEALTH NET
—
Enumeration date
05/25/2006
Last updated
02/24/2010
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