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Contact Information

KELLY CARBONE
3551 N BROAD ST
PHILADELPHIA, PA19140-4160
 Phone: 215-430-4022
 Fax: 215-430-4079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KELLY CARBONE · (Female)

NPI Number 1093008641
Status Active
Credentials
Entity Individual
Enumeration date 05/16/2011
Last updated 05/16/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • PA License # TP006868D
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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