Individual
MRS. KELLY ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
300 S JEFFERSON ST, KITTANNING, PA 16201-2416
(724) 543-2941
Mailing address
217 GLENN ST STE 501, CUMBERLAND, MD 21502-2471
(240) 362-7439
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R212763
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6113039
—
NC
Enumeration date
09/22/2006
Last updated
09/20/2018
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