Individual
JANE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 ENCLAVE DR, SUITE 101, NEW CASTLE, PA 16105-3207
(724) 598-8777
Mailing address
PO BOX 14397, SUITE 101, YOUNGSTOWN, OH 44514-7397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009170L
PA
Other
Enumeration date
07/31/2006
Last updated
03/25/2021
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