Kristy L Keyock CRNP

NPI 1710119250 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1710119250
Gender Female
Enumeration Date 08/18/2009
Last Updated 10/22/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
51 N 39TH ST
MOB SUITE 300
PHILADELPHIA PA, 19104-2640, US
Phone (215) 662-8699
Fax
Business Location
51 N 39TH ST
MOB SUITE 300
PHILADELPHIA PA, 19104-2640, US
Phone (215) 662-8699
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Pennsylvania
License Number SP010242
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According to our database, Kristy L Keyock CRNP NPI is 1710119250, taxonomy code is 363LA2200X and license number is SP010242, license state is located at Pennsylvania. Kristy L Keyock CRNP physically located at 51 N 39th St, Philadelphia PA, 19104-2640. NPI Number Kristy L Keyock CRNP has the Individual type.

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1710119250 NPI number is provided on an as is basis without warranty of any kind. 1710119250 is maintained by the National Plan & Provider Enumeration System. The contents of Kristy L Keyock CRNP are for informational purposes only.