Individual
KELLIE JO RODELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1210 S CEDAR CREST BLVD, SUITE 1100, ALLENTOWN, PA 18103-6229
(610) 402-6555
(610) 402-6550
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754
(610) 798-4500
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA051654
PA
Other
Enumeration date
08/26/2006
Last updated
07/08/2007
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