Individual
KELLIE DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-6666
(215) 456-8502
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-6666
(215) 456-8502
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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