Individual
MS. KELLY ANN GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 405, ALLENTOWN, PA 18103-6224
(610) 402-8420
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
717012
NY
363LF0000X
Family Nurse Practitioner
Primary
SP027365
PA
Other
Enumeration date
01/16/2023
Last updated
01/16/2026
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