Individual provider · Type 1 NPI
Kelly Carbone
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1093008641
Active
Practice location
3551 N Broad St
Philadelphia, PA 19140-4160
Fax (215) 430-4079
Mailing address
PO Box 8500
Philadelphia, PA 19178-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | TP006868D (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1093008641
Kelly Carbone's National Provider Identifier is 1093008641, issued on May 16, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on May 16, 2011.