Mccracken, Kelly R

Mccracken, Kelly R is an individual health care provider with primary practice located at 6481 Carlisle Pike , Mechanicsburg PA 17050-2377. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mccracken, Kelly R can be contacted via phone (717) 516-6396.

Contact Information

Primary practice address
6481 Carlisle Pike Mechanicsburg PA 17050-2377
Phone: (717) 516-6396
Fax: (717) 620-8093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA056786 Pennsylvania

Profile Details

NPI number 1760808703
LBN Legal business name Mccracken, Kelly R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2014
Last updated Jun 25th, 2020 - 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 1760808703 NPPES
Pennsylvania MEDICAID 103166579

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