Individual
MR. KEVIN T ANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
(717) 242-7116
Mailing address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059254
PA
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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