| Kelso Lynne-borrell Blaze, | |
|
2530 N Howard St Unit 2, Philadelphia, PA 19133 | |
| (732) 744-4962 | |
| Not Available |
| Full Name | Kelso Lynne-borrell Blaze |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2530 N Howard St Unit 2, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255096707 | NPI | - | NPPES |
| 5306693119 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelso Lynne-borrell Blaze, 2530 N Howard St Unit 2, Philadelphia, PA 19133 Ph: (732) 744-4962 | Kelso Lynne-borrell Blaze, 2530 N Howard St Unit 2, Philadelphia, PA 19133 Ph: (732) 744-4962 |
Leah M Lopez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 4 Silverstein, Philadelphia, PA 19104 Phone: 215-662-7870 | |
Taylor Nicole Thompson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5501 Old York Rd, Korman Building Suite 202, Philadelphia, PA 19141 Phone: 215-254-2630 | |
Felicia Gutierrez, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1601 Cherry St, Philadelphia, PA 19102 Phone: 267-885-8391 | |
Samantha Volpe, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-4000 | |
Emily Penn, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 864-873-7639 | |
Susan Maureen Dubendorfer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 130 S 9th St, Philadelphia, PA 19107 Phone: 215-206-9392 | |
Lisa J. Easton, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 561 Hawthorne Ave, Philadelphia, PA 19128 Phone: 215-487-4000 |