Individual
KELLY LEESE MISERENDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
228 SAINT CHARLES WAY STE 300, YORK, PA 17402-4661
(717) 812-5400
(717) 741-3598
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0110006374
VA
363AM0700X
Medical Physician Assistant
Primary
MA057146
PA
Other
Enumeration date
10/13/2014
Last updated
04/10/2026
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