Individual
MRS. KELLY LYNN SHURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
620 HOWARD AVE, ALTOONA, PA 16601
(814) 889-2400
Mailing address
704 FOREST ST, TYRONE, PA 16686-6823
(814) 312-6831
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052148
PA
Other
Enumeration date
05/18/2007
Last updated
09/06/2019
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