Individual
KELLIANNE MARIE NERLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
751 LIBERTY ST, MEADVILLE, PA 16335-2559
(814) 333-5000
Mailing address
12829 E CANAL DR, CONNEAUT LAKE, PA 16316-5811
(814) 758-1901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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