Individual
DAISY M KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2499
(800) 748-3243
Mailing address
74 BYRER AVE, UNIONTOWN, PA 15401-4757
(724) 366-1623
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
579179
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
579179
RN
PA
Enumeration date
12/16/2021
Last updated
12/16/2021
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