Individual
KELLI S DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
260 S BROAD ST, 18TH FLOOR, PHILADELPHIA, PA 19102-5021
(267) 765-2366
Mailing address
260 S BROAD ST, 18TH FLOOR, PHILADELPHIA, PA 19102-5021
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN523933L
PA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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