Individual
KELLI YACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
400 BAILEYS RUN LN, SPRINGFIELD, PA 19064-2143
(610) 505-8350
(610) 675-1755
Mailing address
400 BAILEYS RUN LN, SPRINGFIELD, PA 19064-2143
(610) 505-8350
(610) 675-1755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS014411
PA
208M00000X
Hospitalist Physician
Primary
OS014411
PA
Other
Enumeration date
06/02/2008
Last updated
06/16/2017
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