Individual
KELLIE J KRZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
181 INTERSTATE PKWY, BRADFORD, PA 16701-1041
(262) 581-4362
Mailing address
181 INTERSTATE PKWY, BRADFORD, PA 16701-1041
(814) 362-2625
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310716
NY
Other
Enumeration date
04/01/2022
Last updated
05/05/2022
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