Kelli Lynn Swanson
Student in an Organized Health Care Education/Training Program in Philadelphia, PA. Individual provider (NPI-1).
NPI number1962033571
StatusActive
Last updated in NPPESFeb 1, 2020
Details
- NPI
- 1962033571
- Entity type
- Individual (NPI-1)
- Name
- Kelli Lynn Swanson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2020
- Certification date
- Feb 1, 2020
- Last updated
- Feb 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4201 Henry AvePhiladelphia, PA 19144-5409
Phone 856-381-6234
Mailing address
659 Cornell AveWenonah, NJ 08090-1119
Phone 856-381-6234
Other practice locations
659 Cornell Ave
Wenonah, NJ 08090-1119
Wenonah, NJ 08090-1119
Phone 856-381-6234
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All 4,293 Student in an Organized Health Care Education/Training Program providers in Philadelphia · All 53,595 providers in Philadelphia
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