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Organization
PRIMARY CARE OF WESTERN PA P C
Active
Organization
PRIMARY CARE OF WESTERN PA P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE A KELLEY DO (PRESIDENT)
(724) 598-8777
Entity
Organization
Contact information
Practice address
149 ENCLAVE DR, NEW CASTLE, PA 16105-3207
(724) 598-8777
(724) 598-8877
Mailing address
PO BOX 14397, POLAND, OH 44514-7397
(724) 598-8777
(724) 598-8877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009170L
PA
Other
Enumeration date
09/17/2009
Last updated
12/15/2009
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