Individual
KAILEY DEGEZELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 STATE RD, LANCASTER, PA 17601-1812
(223) 287-9000
Mailing address
240 E MAIN AVE, MYERSTOWN, PA 17067-1119
(484) 529-6479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN773601
PA
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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