Individual
MR. KENNETH L SELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
311 W 24TH ST, SUITE 101, ERIE, PA 16502-2665
(814) 452-4214
(814) 461-8424
Mailing address
311 W 24TH ST, SUITE 101, ERIE, PA 16502-2665
(814) 452-4214
(814) 461-8424
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA00160L
PA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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