Individual
KELSEY L MIHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
575 N RIVER ST, WILKES BARRE, PA 18764-1462
(570) 829-8111
Mailing address
PO BOX 512496, PHILADELPHIA, PA 19175-2496
(302) 645-3580
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
L1-0051480
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
RN650797
PA
Other
Enumeration date
02/09/2018
Last updated
05/06/2024
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