Individual
KAELY ELIZABETH BORGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 963-1740
(570) 963-5780
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055257
PA
363AS0400X
Surgical Physician Assistant
MA055257
PA
Other
Enumeration date
02/29/2012
Last updated
11/19/2020
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