Individual
KELLY A GAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
540 N DUKE ST, SUITE 110, LANCASTER, PA 17602-2374
(717) 544-4995
(717) 544-4944
Mailing address
540 N DUKE ST, SUITE 110, LANCASTER, PA 17602-2374
(717) 544-4995
(717) 544-4944
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055380
PA
Other
Enumeration date
03/05/2012
Last updated
01/08/2021
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