Individual
KELSEY ANNE WARCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-8000
Mailing address
951 HAWTHORN RD, ALLENTOWN, PA 18103-4677
(610) 360-1751
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA061036
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA061036
MEDICAL LICENSE NUMBER
PA
01
—
OA005001
OSTEOPATHIC LICENSE NUMBER
PA
Enumeration date
09/20/2019
Last updated
09/20/2019
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