Individual provider · Type 1 NPI

Kelly Lauren Cederquist, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1669815965 Active

Practice location

3400 Spruce St
Philadelphia, PA 19104-4206

Specialties and licenses

Taxonomy	Code	License
Medical Physician Assistant Primary	363AM0700X	MA056112 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1669815965

Kelly Lauren Cederquist, PA-C's National Provider Identifier is 1669815965, issued on Apr 17, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on May 7, 2013.