Most Relevant Information
Provider Data
| NPI Number: | 1003378688 |
| Provider Name: | KELSEY YOUNG |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/03/2019 |
| Last Updated: | 04/03/2019 |
Provider Practice Location
3737 MARKET ST
PHILADELPHIA
PA
191045545
Practice Location Phone/Fax
| Phone: | 6313386705 |
| Fax: |
Provider Mailing Location
420 E 70TH ST APT 8H1
NEW YORK
NY
100215354
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |