Individual
DR. KELLY ANN CESSNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
132 ABIGAIL LN, PORT MATILDA, PA 16870-7153
(814) 272-7100
(814) 272-6501
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS014442
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021962970001
—
PA
Enumeration date
05/18/2007
Last updated
08/05/2020
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