Individual
KAY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 MAPLE HOLLOW RD, DUNCANSVILLE, PA 16635-7920
(814) 693-2273
(814) 693-1191
Mailing address
PO BOX 574, DUNCANSVILLE, PA 16635-0574
(814) 693-2273
(814) 693-1191
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
PN266468
PA
163WG0600X
Gerontology Registered Nurse
PN266468
PA
163WP0200X
Pediatric Registered Nurse
PN266468
PA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
PN266468
PA
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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