Mickulik, Kelly S.

Mickulik, Kelly S. is an individual health care provider with primary practice located at 3317 Penn Ave , Reading PA 19609-1436. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mickulik, Kelly S. can be contacted via phone (610) 750-7891.

Contact Information

Primary practice address
3317 Penn Ave Reading PA 19609-1436
Phone: (610) 750-7891
Fax: (610) 750-7894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA050888 Pennsylvania

Profile Details

NPI number 1386643880
LBN Legal business name Mickulik, Kelly S.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Aug 29th, 2018 - about 6 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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