Kelly, Kathleen E

Kelly, Kathleen E is an individual health care provider with primary practice located at 2 Veterans Pl Pmc Learning Institute, Stroudsburg PA 18360-2494. She recently has only one registered license in Nursing Service Providers / Maternal Newborn, which is considered as her primary health care specialty. Kelly, Kathleen E can be contacted via phone (570) 426-1688.

Contact Information

Primary practice address
2 Veterans Pl Pmc Learning Institute Stroudsburg PA 18360-2494
Fax: (570) 426-1832
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Maternal Newborn 163WM0102X RN349793L Pennsylvania

Profile Details

NPI number 1700937877
LBN Legal business name Kelly, Kathleen E
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 29th, 2013 - about 11 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 1700937877 NPPES
Pennsylvania MEDICAID 1016058300001

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