Individual
KRISTEN M OMLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 LOGANS FERRY RD, LOWER BURRELL, PA 15068-2048
(866) 419-1693
Mailing address
13911 HARVIE CT, NORTH HUNTINGDON, PA 15642-1656
(412) 418-6999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN598636
PA
363LF0000X
Family Nurse Practitioner
Primary
SP028960
PA
Other
Enumeration date
12/15/2023
Last updated
12/19/2023
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