Individual
KELLY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
600 SOMERSET AVE, WINDBER, PA 15963-1331
(814) 467-3628
(814) 467-3655
Mailing address
600 SOMERSET AVE, WINDBER, PA 15963-1331
(814) 467-3628
(814) 467-3655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015495
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP015495
PA LICENSE
PA
Enumeration date
10/20/2015
Last updated
09/27/2018
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