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Individual
KELLY COLE WHITSEL
Active
Individual
KELLY COLE WHITSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015948
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001962858-0006
—
PA
01
—
1062778
WORKERS' COMP
WV
01
—
14493
ELDER HEALTH
PA
01
—
1503949
HIGHMARK
PA
01
—
1537408
GATEWAY HEALTH PLAN
PA
Enumeration date
11/01/2006
Last updated
09/20/2008
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