Individual
KELLY FICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ROHRSTOWN RD, SUITE A, LANCASTER, PA 17603
(717) 756-8077
Mailing address
1209 PEGGY DR, HUMMELSTOWN, PA 17036-9017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN574540
PA
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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