Bieber, Kelly O

Bieber, Kelly O is an individual health care provider with primary practice located at 3900 Woodland Ave , Phila PA 19104-4551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bieber, Kelly O can be contacted via phone (215) 823-5800.

Contact Information

Primary practice address
3900 Woodland Ave Phila PA 19104-4551
Phone: (215) 823-5800
Fax: (215) 823-4545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X VP006649B Pennsylvania

Profile Details

NPI number 1457416984
LBN Legal business name Bieber, Kelly O
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Oct 22nd, 2018 - 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 1457416984 NPPES
Pennsylvania Other 1942554308 CRESCENZ VA MEDICAL CENTER
Pennsylvania Other 232669309 CRESCENZ VA MEDICAL CENTER

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