Healthcare Provider Details

I. General information

NPI: 1174105928
Provider Name (Legal Business Name): KELSEY MCGEE HUTCHINS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2021
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 SPRUCE ST
PHILADELPHIA PA
19104-4238
US

IV. Provider business mailing address

200 UNION ST
FIELDSBORO NJ
08505-1122
US

V. Phone/Fax

Practice location:
  • Phone: 215-662-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberSP023063
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: