Individual
KELLY S. CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
32 E LAWRENCE RD, LAWRENCEVILLE LAUREL HEALTH CENTER, LAWRENCEVILLE, PA 16929-8801
(570) 827-0128
(570) 827-0129
Mailing address
40 W WELLSBORO ST, MANSFIELD, PA 16933-1411
(570) 662-1945
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP009074
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101654306
—
PA
Enumeration date
07/26/2006
Last updated
07/14/2023
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