Individual
RYAN J KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8955
(717) 531-4587
Mailing address
PO BOX 858, MCA410, HERSHEY, PA 17033-0858
(800) 243-1435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP017253
PA
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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