Individual
KELLI BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3452 BRODHEAD RD, MONACA, PA 15061-3132
(724) 775-8801
Mailing address
3452 BRODHEAD RD, MONACA, PA 15061-3132
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054603
PA
Other
Enumeration date
09/28/2010
Last updated
05/24/2021
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