Individual
JENNIFER ZUCAL KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CPM
Contact information
Practice address
215 E 5TH ST, EMPORIUM, PA 15834-1417
(814) 335-4537
Mailing address
215 E 5TH ST, EMPORIUM, PA 15834-1417
(814) 335-4537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN575349
PA
176B00000X
Midwife
—
—
374J00000X
Doula
—
—
Other
Enumeration date
11/18/2011
Last updated
10/19/2014
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