Individual
MRS. KELLY PATRICIA AMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
618 CORNWALL RD STE 2, LEBANON, PA 17042-7089
(717) 279-6700
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 279-6700
(717) 279-6759
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP023508
PA
Other
Enumeration date
04/30/2021
Last updated
05/19/2021
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