Individual provider · Type 1 NPI

Kelcy O'Connor

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1033063839 Active

Practice location

60 N 36th St
Philadelphia, PA 19104-5639

Mailing address

440 Pelham Rd
Cherry Hill, NJ 08034-2745

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033063839

Kelcy O'Connor's National Provider Identifier is 1033063839, issued on Feb 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 26, 2026.