Individual
KELLY FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 HIGH ST STE 3002, SUITE 3002, WILLIAMSPORT, PA 17701-3102
(570) 321-2820
Mailing address
1201 GRAMPIAN BLVD, SUITE 3002, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051520
PA
Other
Enumeration date
03/10/2006
Last updated
06/15/2021
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