Individual
AUDRA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 W BERKELEY ST, UNIONTOWN, PA 15401-5514
(724) 430-5000
Mailing address
1269 CARLISLE AVE, MORGANTOWN, WV 26505-5307
(724) 972-2331
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD477852
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2018
Last updated
06/27/2022
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