Individual
MISS KELLY LEE KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3222 FLORIDA AVE, ERIE, PA 16504-1126
(814) 454-7085
Mailing address
3222 FLORIDA AVE, ERIE, PA 16504-1126
(814) 454-7085
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN273203
PA
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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