Individual
KELLY ANN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, AGPCNP-BC
Contact information
Practice address
252 S 4TH ST, LEBANON, PA 17042-6111
(717) 639-3150
(717) 851-2602
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 639-3150
(717) 851-2602
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP020438
PA
Other
Enumeration date
07/31/2019
Last updated
06/19/2020
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