Kelso L. Blaze
Physician Assistant · Philadelphia, PA
UnclaimedNPI 1255096707
- Primary taxonomy
- 363A00000X
- Enumerated
- 2021-11-01
- Practice location
- Philadelphia, PA
- Last NPPES update
- 2021-11-01
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.