Individual
MISS KELLY JORDAN SPANGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1599 SOMERSET AVE, WINDBER, PA 15963-1745
(814) 467-5600
(814) 467-5605
Mailing address
1599 SOMERSET AVE, STE 1, WINDBER, PA 15963-1745
(814) 341-1059
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/10/2014
Last updated
10/10/2019
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