Individual
KELSIE PANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
575 S 9TH ST, LEHIGHTON, PA 18235-2517
(844) 822-5320
Mailing address
575 S 9TH ST, LEHIGHTON, PA 18235-2517
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056457
PA
Other
Enumeration date
11/06/2013
Last updated
06/19/2023
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