Individual
KELLY MCANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
746 JEFFERSON AVE, SCRANTON, PA 18510-1624
(570) 770-3000
Mailing address
306 VINCENT AVE, EYNON, PA 18403-1481
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP024500
PA
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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