Individual
MISS KELLY CHRISTINE BUSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 S LOGAN BLVD STE 1200, HOLLIDAYSBURG, PA 16648-3051
(814) 946-7568
(814) 943-7490
Mailing address
5635 E PLEASANT VALLEY BLVD, TYRONE, PA 16686-8569
(814) 330-5851
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA059833
PA
363A00000X
Physician Assistant
Primary
OA004496
PA
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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