Individual
KRISTEN M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
314 MOORE BUILDING, UNIVERSITY PARK, PA 16802
(814) 865-2191
(814) 863-1331
Mailing address
314 MOORE BUILDING, UNIVERSITY PARK, PA 16802
(814) 865-2191
(814) 863-1331
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
RN559476
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP009083
PA
Other
Enumeration date
08/07/2006
Last updated
01/08/2019
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