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1992920771
MICHELLE KRISTIN BURKE KELLY
NEWARK, DE
NPI
1992920771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: DE C5-0000328)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
-- MICHELLE KRISTIN BURKE KELLY PA-C
4745 OGLETOWN STANTON RD MAP 1 SUITE 128
NEWARK, DE 19713-2067
Phone number: 302-733-4500
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Mailing Address
-- MICHELLE KRISTIN BURKE KELLY PA-C
42 FAWN LN
KENNETT SQUARE, PA 19348-2311
Phone number: 484-770-8091
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