Individual
MS. KELLY FIELD BONNEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5945
(717) 544-5944
Mailing address
555 N DUKE ST FL 3, LANCASTER, PA 17602-2250
(717) 544-5945
(717) 544-5944
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054788
PA
Other
Enumeration date
02/28/2011
Last updated
04/02/2019
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