Individual
AMANDA LINDSAY KELLER-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1001 S GEORGE ST FL 4, YORK, PA 17403-3676
(717) 851-4005
(717) 812-2495
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS016703
PA
207Q00000X
Family Medicine Physician
OT013979
PA
208M00000X
Hospitalist Physician
Primary
OS016703
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102952080 - 0001
—
PA
Enumeration date
04/19/2011
Last updated
10/15/2024
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