KELLY REMBOLT


Address: 401 W Allegheny Ave, Philadelphia, PA 19133-3644
Phone: 2152912500

KELLY REMBOLT (NPI# 1528580792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528580792
Entity Type Individual
Full Name KELLY REMBOLT
Credential PA-C
Practice Address 401 W Allegheny Ave
Philadelphia
PA 19133-3644
Mailing Address 1412 Faimount Avenue
Philadelphia
PA 19130-2908
Practice Telephone 2152912500
Mailing Telephone 2152359600
Mailing Fax Number 2152324093
Enumeration Date 2017-07-10
Last Update Date 2017-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
MA059130 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 401 W ALLEGHENY AVE
City PHILADELPHIA
State PA
Zip Code 19133-3644

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952384646 Clinton A. Turner Obstetrics & Gynecology 401 W Allegheny Ave, Philadelphia, PA 19133-3644 2005-11-28
1104454578 Erika Ramos Registered Nurse 401 W Allegheny Ave, Philadelphia, PA 19133-3644 2020-03-31
1700364148 Amanda Montalvo Dentist 401 W Allegheny Ave, Philadelphia, PA 19133-3644 2018-07-28
1851816516 Samantha Alexander Eisenhart Dental Hygienist 401 W Allegheny Ave, Philadelphia, PA 19133-3644 2017-08-03
1336674670 Allison Vogl Family Medicine 401 W Allegheny Ave, Philadelphia, PA 19133-3644 2017-04-24
1265966063 Daniel Ring Family Medicine 401 W Allegheny Ave, Philadelphia, PA 19133-3644 2017-04-18
1134587249 Melissa Cruz Social Worker 401 W Allegheny Ave, Philadelphia, PA 19133-3644 2016-02-03
1891167607 Laura Austen Harris Nurse Practitioner 401 W Allegheny Ave, Philadelphia, PA 19133-3644 2015-10-20
1801265103 Laura Anne Holt Nurse Practitioner 401 W Allegheny Ave, Philadelphia, PA 19133-3644 2015-09-17
1609286293 Emi Okamoto Internal Medicine 401 W Allegheny Ave, Philadelphia, PA 19133-3644 2014-05-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427525708 Delia Maria Home Care Agency LLC Home Health Aide 2945-47 N. 5th Street, Philadelphia, PA 19133 2018-10-25
1215417738 Ajaj Medical Equipment & Supplies Durable Medical Equipment & Medical Supplies 3116 North Front St, Philadelphia, PA 19133 2018-08-14
1730636101 Martha Pinto Registered Nurse 412 W. Lehigh Avenue, Philadelphia, PA 19133 2016-09-02
1295105989 Mariana Arguelles-alcazar Technician, Other 216 W. Somerset St, Esfuerzo Program, Philadelphia, PA 19133 2015-10-07
1750785457 Cinthya M Gonzalez Reveron Speech-Language Pathologist 2215 N American Street, Philadelphia, PA 19133 2014-10-09
1306166434 Roberto Hilario Counselor 29297 North 5th Street, Philadelphia, PA 19133 2010-06-11
1598919300 Pan American Academy Charter School Local Education Agency (LEA) 126 West Dauphin Street, Philadelphia, PA 19133 2008-11-06
1518157114 Jennifer Leah Hoffman Registered Nurse 452 W. Allegheny Ave, Philadelphia, PA 19133 2007-07-30
1245441534 Mark D. Lyons Physician Assistant 452 W. Allegheny Ave., Phila., PA 19133 2007-05-25
1104037613 Christian Santana Dentist 29 10 North 5th Street, Phila, PA 19133 2007-05-25
Find all providers in zip 19133

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467051763 Molly Catherine Peters Physician Assistant 4338 Boone St, Philadelphia, PA 19128-4901 2020-10-19
1356951024 Murielle M Boursiquot Physician Assistant 7901 Henry Ave Apt G302, Philadelphia, PA 19128-3072 2020-08-06
1134757156 Julie Hutchison Physician Assistant 2922 N 5th St, Philadelphia, PA 19133-2801 2020-03-27
1174155857 Rebecca Volpe Physician Assistant 738 Longshore Ave, Philadelphia, PA 19111-4325 2020-02-10
1306308879 Ria Raju Physician Assistant 7909 Lawndale Ave, Philadelphia, PA 19111-2652 2019-04-03
1386101400 Ashley Thomas Physician Assistant 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 2019-02-25
1487119186 Shelby Elizabeth Ginsburg Physician Assistant 1200 W Tabor Rd Fl Bl4, Philadelphia, PA 19141-3019 2019-02-06
1346720059 Noelle Elizabeth Mullanaphy Physician Assistant 4031 Sheffield St, Philadelphia, PA 19136-3101 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
1912409533 Lauren Joy Barton Physician Assistant 5401 N Broad St Ste 363, Philadelphia, PA 19141 2018-02-28
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19133

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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