KELLY ALICE DRIVDAHL DOUGHERTY

PHILADELPHIA, PA
NPI1336709096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: PA  MT218870)
Enumeration Date2019-06-15
Last Update Date2023-05-01
Business Address
KELLY ALICE DRIVDAHL DOUGHERTY MD
3401 N BROAD ST
PHILADELPHIA, PA 19140-5189
Phone number: 215-707-5435
Mailing Address
KELLY ALICE DRIVDAHL DOUGHERTY MD
1620 MOUNT VERNON ST APT 3
PHILADELPHIA, PA 19130-3320
Phone number: 484-350-2351
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