Individual
DR. NICHOLAS KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
575 N RIVER ST, WILKES-BARRE, PA 19702-2634
(570) 829-8111
Mailing address
575 N RIVER ST, WILKES BARRE, PA 18702-2634
(570) 829-8111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS019482
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT017061
PA
Other
Enumeration date
05/25/2016
Last updated
03/12/2025
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