Keith Mcnellis MD

NPI 1003804907 - Internal Medicine - 207R00000X

NPI Details
NPI 1003804907
Gender Male
Enumeration Date 10/13/2005
Last Updated 03/30/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
1316 W ONTARIO ST
PHILADELPHIA PA, 19140-5220, US
Phone (215) 707-1800
Fax (215) 707-3644
Business Location
2450 W HUNTING PARK AVE
PHILADELPHIA PA, 19129-1302, US
Phone (215) 707-1800
Fax (215) 707-3644
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MD422449
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According to our database, Keith Mcnellis MD NPI is 1003804907, taxonomy code is 207R00000X and license number is MD422449, license state is located at Pennsylvania. Keith Mcnellis MD physically located at 1316 W Ontario St, Philadelphia PA, 19140-5220. NPI Number Keith Mcnellis MD has the Individual type.

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1003804907 NPI number is provided on an as is basis without warranty of any kind. 1003804907 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Mcnellis MD are for informational purposes only.