Individual
KELLY HAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(973) 769-1524
Mailing address
2 W BROAD ST, APT. 5, BETHLEHEM, PA 18018-5718
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS017850
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103075625
—
PA
01
—
462706
MEDICARE
PA
Enumeration date
06/06/2014
Last updated
09/18/2017
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