Individual
KELLY CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
528 DELAWARE AVE, PALMERTON, PA 18071-1911
(610) 900-4950
Mailing address
8695 INTERCHANGE RD, LEHIGHTON, PA 18235-5613
(570) 406-6294
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP021237
PA
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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