Individual
KELLY ANNE JAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1016 W FRONT ST, BERWICK, PA 18603-4525
(708) 290-0031
(570) 802-0104
Mailing address
1016 W FRONT ST, BERWICK, PA 18603-4525
(570) 802-0102
(570) 802-0104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/21/2015
Last updated
05/21/2022
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