Individual
KELLI K DESANCTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2501 W 12TH ST, ERIE, PA 16505-4527
(814) 461-6626
(814) 871-6351
Mailing address
2501 W 12TH ST, ERIE, PA 16505-4527
(814) 461-6626
(814) 871-6351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS016944
PA
Other
Enumeration date
05/11/2011
Last updated
10/05/2020
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