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Individual

KELLY A KLEE-MEDICI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
118 MONAHAN AVE, DUNMORE, PA 18512-1700
(570) 344-0183
Mailing address
118 MONAHAN AVE, DUNMORE, PA 18512-1700
(570) 344-0183

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN96286L
PA

Other

Enumeration date
03/11/2022
Last updated
03/11/2022
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