Individual
KELLY R. JANNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
EMT-P
Contact information
Practice address
360 W RUDDLE ST, COALDALE, PA 18218-1027
(570) 645-0478
Mailing address
227 STOCK ST, NESQUEHONING, PA 18240-2316
(570) 645-0332
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
149179
PA
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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