Kevin A Shelby PA-C

NPI 1164455838 - Physician Assistant - 363AM0700X

NPI Details
NPI 1164455838
Gender Male
Enumeration Date 07/08/2006
Last Updated 05/13/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
2630 HOLME AVE
2ND FLOOR
PHILADELPHIA PA, 19152-3004, US
Phone (267) 339-3500
Fax (267) 339-3763
Business Location
2630 HOLME AVE
2ND FLOOR
PHILADELPHIA PA, 19152-3004, US
Phone (267) 339-3500
Fax (267) 339-3763
Toxanomy
Taxonomy Code 363AM0700X
License State Pennsylvania
License Number MA052311
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According to our database, Mr. Kevin A Shelby PA-C NPI is 1164455838, taxonomy code is 363AM0700X and license number is MA052311, license state is located at Pennsylvania. Kevin A Shelby PA-C physically located at 2630 Holme Ave, Philadelphia PA, 19152-3004. NPI Number Kevin A Shelby PA-C has the Individual type.

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1164455838 NPI number is provided on an as is basis without warranty of any kind. 1164455838 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin A Shelby PA-C are for informational purposes only.