Individual
MS. KELLY R. HAIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
531 MT PLEASANT DR, SCRANTON, PA 18503-1987
(570) 342-8500
(570) 342-0924
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN325220L
PA
363L00000X
Nurse Practitioner
Primary
VP005115B
PA
Other
Enumeration date
03/17/2006
Last updated
08/19/2020
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