Individual
KELLIE LYNN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-1484
Mailing address
1086 EDSON AVE, JOHNSTOWN, PA 15905-4445
(814) 244-1458
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP027508
PA
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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