Individual
KELLY LEE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
49 RIDGMONT DR STE 1, RIDGWAY, PA 15853-9700
(814) 245-2119
(814) 245-2122
Mailing address
PO BOX 270, EMPORIUM, PA 15834-0270
(814) 486-1115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN617747
PA
363LF0000X
Family Nurse Practitioner
Primary
SP025081
PA
Other
Enumeration date
10/15/2021
Last updated
12/29/2021
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