Deah, Kelly A

Deah, Kelly A is an individual health care provider with primary practice located at 100 Eisenhower Dr , Hanover PA 17331-5241. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Deah, Kelly A can be contacted via phone (717) 646-4201.

Contact Information

Primary practice address
100 Eisenhower Dr Hanover PA 17331-5241
Fax: (717) 646-4202
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP012067 Pennsylvania

Profile Details

NPI number 1154687101
LBN Legal business name Deah, Kelly A
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2012
Last updated Oct 18th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154687101 NPPES
Pennsylvania MEDICAID 1029989380059

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