Individual
NANCY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
549 FAIR ST, BLOOMSBURG, PA 17815-1419
(570) 416-1867
(570) 416-1848
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD444332
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07887
—
LA
Enumeration date
05/24/2007
Last updated
08/11/2020
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