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Individual

MICHELLE KRISTIN BURKE KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4745 OGLETOWN STANTON RD, MAP 1 SUITE 128, NEWARK, DE 19713-2067
(302) 733-4500
Mailing address
42 FAWN LN, KENNETT SQUARE, PA 19348-2311
(484) 770-8091

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000328
DE

Other

Enumeration date
04/16/2007
Last updated
07/08/2007
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