Individual
COLLIN SCOTT KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
37 W FREDERICK ST, MILLERSVILLE, PA 17551-1909
(717) 779-9228
Mailing address
37 W FREDERICK ST, MILLERSVILLE, PA 17551-1909
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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