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1508501396
MICHAEL MARTIN KELLY
KING OF PRUSSIA, PA
NPI
1508501396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: PA SP025663)
Enumeration Date
2022-05-05
Last Update Date
2022-05-05
Business Address
MICHAEL MARTIN KELLY CRNP
550 S GODDARD BLVD
KING OF PRUSSIA, PA 19406-2922
Phone number: 445-428-3000
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Mailing Address
MICHAEL MARTIN KELLY CRNP
1125 LINDALE AVE
DREXEL HILL, PA 19026-3221
Phone number:
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