Individual
KELLY NICOLE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
250 CETRONIA RD, ALLENTOWN, PA 18104-9147
(610) 973-6200
(866) 644-0894
Mailing address
250 CETRONIA RD, SUITE 303, ALLENTOWN, PA 18104-9147
(610) 973-6200
(866) 644-0894
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA057361
PA
Other
Enumeration date
11/09/2009
Last updated
02/24/2015
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