Kelly, Megan

Kelly, Megan is an individual health care provider with primary practice located at 1900 N 9Th St Suite 104, Philadelphia PA 19122-1909. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelly, Megan can be contacted via phone (215) 765-6690.

Contact Information

Primary practice address
1900 N 9Th St Suite 104 Philadelphia PA 19122-1909
Fax: (215) 765-6694
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X VP-003801B Pennsylvania

Profile Details

NPI number 1811989692
LBN Legal business name Kelly, Megan
Credentials C.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 15th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811989692 NPPES
Pennsylvania Other 1811989692 HEALTH PARTNERS
Pennsylvania MEDICAID 0019514240001 HEALTH PARTNERS
Pennsylvania Other 16615 HEALTH PARTNERS
Pennsylvania Other 2284177000 HEALTH PARTNERS

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