Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Bonomo

Individual provider Counselor · NPI 1750230389

Kelly Bonomo is a Counselor in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2026
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Practice location Address checks out

4702 Hazel Ave Apt 1
Philadelphia, PA 19143-2079
Phone: (215) 821-7227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence PC014701 (PA)

Record details

NPI number1750230389
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 26, 2026
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

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