London, Kelly Rae

London, Kelly Rae is an sole proprietor health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-9800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. London, Kelly Rae can be contacted via phone (570) 214-4777.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-9800
Fax: (570) 271-7158
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA053465 Pennsylvania

Profile Details

NPI number 1255595708
LBN Legal business name London, Kelly Rae
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2008
Last updated Jul 14th, 2008 - about 16 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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