Individual
KEVIN P MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2221 NOLL DR STE 1000, LANCASTER, PA 17603-7614
(717) 715-1001
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN673833
PA
363L00000X
Nurse Practitioner
Primary
SP020830
PA
Other
Enumeration date
09/03/2019
Last updated
09/23/2019
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