Individual
KELLY JO WOLFKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
300 BRETZ CT STE 100, NEWPORT, PA 17074-8615
(717) 567-3174
Mailing address
300 BRETZ CT STE 100, NEWPORT, PA 17074-8615
(717) 567-3174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN518066L
PA
363LF0000X
Family Nurse Practitioner
Primary
SP025240
PA
Other
Enumeration date
04/19/2022
Last updated
12/09/2024
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