Individual
KELLY FAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 N JUNIATA ST, FIRST FLOOR SUITE, HOLLIDAYSBURG, PA 16648-1455
(814) 695-5591
Mailing address
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2415
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002053L
PA
Other
Enumeration date
03/27/2006
Last updated
04/06/2021
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