Individual
KELLY JEAN STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
631 N BROAD STREET EXT, GROVE CITY, PA 16127-4603
(724) 450-7000
Mailing address
743 MERCER RD, GREENVILLE, PA 16125-8415
(724) 456-3076
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP030125
PA
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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