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Kelso Lynne-borrell Blaze
Physician Assistant in Philadelphia, Pennsylvania
NPI 1255096707

Kelso Lynne-borrell Blaze is a Physician Assistant based in Philadelphia, PA. Kelso Lynne-borrell Blaze practices in Philadelphia, PA. The NPI Number for Kelso Lynne-borrell Blaze is 1255096707 and holds a License No. (Pennsylvania).

The current practice location address for Kelso Lynne-borrell Blaze is 2530 N Howard St Unit 2, Philadelphia, PA and can be reached out via phone at 732-744-4962.

Location: 2530 N Howard St Unit 2, Philadelphia, PA, 19133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255096707
Provider Name
Kelso Lynne-borrell Blaze
Credential
Provider Entity Type
Individual
Gender
Female
Address
2530 N Howard St Unit 2, Philadelphia, PA, 19133
Phone Number
732-744-4962
Fax Number
Provider Enumeration Date
11/01/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5306693119 05 PA
institution
Provider Business Practice Location Address Details
Address
2530 N Howard St Unit 2
City
Philadelphia
State
Pennsylvania
Zip
19133
Phone Number
732-744-4962
Fax Number
person
Provider Business Mailing Address Details
Address
2530 N Howard St Unit 2
City
Philadelphia
State
Pennsylvania
Zip
19133
Phone Number
732-744-4962
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
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Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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