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Individual

MRS. KELLI ANN GILLOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN CRNP

Contact information

Practice address
22 MILL STREET, UNIONTOWN, PA 15401
(724) 437-1582
(724) 437-1571
Mailing address
22 MILL STREET, UNIONTOWN, PA 15401
(724) 437-1582
(724) 437-8328

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN512040L
PA
363L00000X
Nurse Practitioner
Primary
SP006394B
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1991407
HIGHMARK
PA
01
GI1324550
HIGHMARK
PA
Enumeration date
03/24/2006
Last updated
05/27/2015
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