Crystal-Nicole Marie Kelson in Philadelphia - Registered Nurse

Crystal-Nicole Marie Kelson - NPI 1306043468

Crystal-Nicole Marie Kelson is a Registered Nurse in Philadelphia, Pennsylvania. Crystal-Nicole Marie Kelson practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Crystal-Nicole Marie Kelson is 1306043468. The last update date is 2007-07-08.

Crystal-Nicole Marie Kelson's current location address is 2125 N 21st St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157632040. The mailing address for Crystal-Nicole Marie Kelson is 2125 N 21st St, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Crystal-Nicole Marie Kelson
Address 2125 N 21st St, Philadelphia, Pennsylvania
Phone Number 2157632040
Fax Number
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1306043468
Provider Enumeration Date 2007-06-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2125 N 21st St
City Philadelphia
State Pennsylvania (PA)
Post Code 191211404
Phone Number 2157632040
Fax Number

Provider's Primary Taxonomy Detail

Speciality Registered Nurse
Taxonomy 163W00000X
Licence No RN578906
Definition:
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of

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FAQs about Crystal-Nicole Marie Kelson

What is the Crystal-Nicole Marie Kelson's 1306043468?

The Crystal-Nicole Marie Kelson's NPI (National Provider Identifier) Number is 1306043468. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Crystal-Nicole Marie Kelson's facilities are situated?

The facilities of Crystal-Nicole Marie Kelson are physically located at the following address: 2125 N 21St St, Philadelphia, PA, 191211404.

What is Crystal-Nicole Marie Kelson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Crystal-Nicole Marie Kelson's specialized field of practice is Registered Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 163W00000X.

On what date did the Crystal-Nicole Marie Kelson receive the assignment of its 1306043468 from the Centers for Medicare & Medicaid Services?

The Crystal-Nicole Marie Kelson was issued its 1306043468 by the Centers for Medicare & Medicaid Services on 2007-06-29.

As of what date were the details related to Crystal-Nicole Marie Kelson most recently updated or revised?

The information pertaining to Crystal-Nicole Marie Kelson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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