Individual
KELLY M CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L, BSN, RN
Contact information
Practice address
27 JESSOP LN, HATBORO, PA 19040-1342
(570) 947-4854
Mailing address
27 JESSOP LN, HATBORO, PA 19040-1342
(570) 947-4854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN773792
PA
225X00000X
Occupational Therapist
Primary
OC009187
PA
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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