Individual
KELLY WENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 LIBERTY ST, SUITE 202, MEADVILLE, PA 16335-2566
(814) 333-5888
Mailing address
765 LIBERTY ST, SUITE 202, MEADVILLE, PA 16335-2566
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP011351
PA
Other
Enumeration date
04/11/2011
Last updated
04/06/2021
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