SearchPennsylvaniaPhysician Assistant

Kelso Blaze

NPI 1255096707 · on the registry since 2021 · sole proprietor

Practice

Address
2530 N Howard St Unit 2
Philadelphia, PA 19133
Phone
(732) 744-4962

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Sex
Female
Record last updated
2021-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania