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
Phone: (717) 646-4201
Fax: (717) 646-4202
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154687101 | NPPES |
Pennsylvania | MEDICAID | 1029989380059 |
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