Individual
MRS. KELLY A GURRERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 231-8772
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 231-8772
(717) 231-8435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056871
PA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103157453
—
PA
Enumeration date
05/19/2014
Last updated
04/15/2021
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