Individual
KELSEY KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 TOWNE SQUARE DR STE 301, HERSHEY, PA 17033-9440
(717) 988-8320
(717) 221-5397
Mailing address
121 TOWNE SQUARE DR STE 301, HERSHEY, PA 17033-9440
(717) 988-8320
(717) 221-5397
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA061679
PA
363AS0400X
Surgical Physician Assistant
Primary
OA005245
PA
Other
Enumeration date
06/16/2020
Last updated
05/30/2025
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