Individual
KELLI JO RICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3438 ROUTE 764, DUNCANSVILLE, PA 16635-7803
(814) 944-7000
(814) 240-5812
Mailing address
PO BOX 170, IRVONA, PA 16656-0170
(814) 932-8305
(814) 240-5812
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN289554
PA
Other
Enumeration date
05/05/2021
Last updated
05/07/2021
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