KELLY WURST

PHILADELPHIA, PA
NPI1437574233
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: PA  sp013688)
Enumeration Date2014-03-03
Last Update Date2015-12-09
Business Address
-- KELLY WURST
111 S 11TH ST
PHILADELPHIA, PA 19107-4824
Phone number: 215-955-6000
Mailing Address
-- KELLY WURST
51 N 39TH ST PHI 2C
PHILADELPHIA, PA 19104-2640
Phone number: 215-662-9000