Individual
KELLE B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
32-36 CENTRAL AVE, EMERGENCY DEPARTMENT, WELLSBORO, PA 16901-1840
(570) 723-0145
Mailing address
32-36 CENTRAL AVE, MEDICAL STAFF OFFICE, WELLSBORO, PA 16901-1840
(570) 723-0104
(570) 723-0118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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