Individual
MRS. KELLY RENEE SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
102 TECHNOLOGY DR STE 210E, BUTLER, PA 16001-1784
(724) 284-4000
Mailing address
128 VALLEYBROOK DR, VALENCIA, PA 16059-1430
(724) 263-6598
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN547582
PA
363LF0000X
Family Nurse Practitioner
Primary
SP018303
PA
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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