Individual
DIANE ELIZABETH KELLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2 JENNIFER CT STE B, CARLISLE, PA 17015-7694
(717) 218-9830
(717) 218-9833
Mailing address
2 JENNIFER CT STE B, CARLISLE, PA 17015-7694
(717) 218-9830
(717) 218-9833
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
MW010493
PA
367A00000X
Advanced Practice Midwife
Primary
MW010493
PA
Other
Enumeration date
06/13/2018
Last updated
12/10/2020
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