Individual
KELSY SHOAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1118 W BALTIMORE PIKE FL 3, MEDIA, PA 19063-6104
(267) 339-3647
(267) 339-3647
Mailing address
1118 W BALTIMORE PIKE FL 3, MEDIA, PA 19063-6104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061220
PA
Other
Enumeration date
10/22/2019
Last updated
07/22/2025
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