Individual
KELLY A GERGELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
700 E NORWEGIAN ST, POTTSVILLE, PA 17901-2710
(570) 621-4143
(570) 621-4769
Mailing address
1085 W MARKET ST, SCHUYLKILL HAVEN, PA 17972-9779
(570) 366-3063
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA003110L
PA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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