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
Phone: (215) 765-6690
Fax: (215) 765-6694
Website:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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