Individual
KELLY LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, SANE-P
Contact information
Practice address
126 SPRING ST, MEDIA, PA 19063-4944
(814) 863-7374
Mailing address
126 SPRING ST, MEDIA, PA 19063-4944
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN672978
PA
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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