Individual
KELLEY WEINFURTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, 3 DULLES BUILDING, PHILADELPHIA, PA 19104-4206
(215) 349-8222
(215) 349-5915
Mailing address
3400 SPRUCE ST, 3 DULLES BUILDING, PHILADELPHIA, PA 19104-4206
(215) 349-8222
(215) 349-5915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD478369
PA
207RG0100X
Gastroenterology Physician
Primary
MD478369
PA
207RT0003X
Transplant Hepatology Physician
MD478369
PA
Other
Enumeration date
04/17/2015
Last updated
08/15/2022
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