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1639694276
KELLY AMANDA SMITH
PHILADELPHIA, PA
NPI
1639694276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: PA SP017721)
Enumeration Date
2017-08-04
Last Update Date
2017-08-04
Business Address
KELLY AMANDA SMITH MSN, RN, CPNP-PC/AC
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1000
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Mailing Address
KELLY AMANDA SMITH MSN, RN, CPNP-PC/AC
2040 MARKET ST APT 1104
PHILADELPHIA, PA 19103-3369
Phone number: 585-739-0235
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