Individual provider · Type 1 NPI

Kelly Senour, PA-C

Surgical Physician Assistant · Philadelphia, PA

NPI number 1508686205 Active

Practice location

3400 Spruce Street, 3 Silverstein Bldg
Philadelphia, PA 19104-4206

Call (215) 662-3487 Map

Other practice locations

  • 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 · (609) 832-5060

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X25MP00890500 (NJ)
Surgical Physician Assistant Primary 363AS0400XMA066023 (PA)

Surgical Physician Assistant: Definition to come...

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About NPI 1508686205

Kelly Senour, PA-C's National Provider Identifier is 1508686205, issued on Oct 16, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 11, 2025.