# KELCIE SPRENTALL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1891182960
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 319177 | NY | Yes |
| 207Q00000X | Family Medicine Physician | MD464217 | PA | — |

## Other

- **Enumeration date:** 04/16/2015
- **Last updated:** 03/18/2025