Individual
SHANNON NOEL KELLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
6 S SYCAMORE ST, NEWTOWN, PA 18940-1533
(267) 968-1479
Mailing address
6 S SYCAMORE ST, NEWTOWN, PA 18940-1533
(267) 968-1479
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK001334
PA
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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