Individual
KELLY R LEITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
35 HOPE DR, SUITE 102, HERSHEY, PA 17033-2086
(717) 531-7300
(717) 531-3527
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS009022L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015194250010
—
PA
Enumeration date
05/12/2006
Last updated
01/29/2021
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