Prall, Kelly Marie

Prall, Kelly Marie is an individual health care provider with primary practice located at 677 Kidder Street , Wilkes-Barre Twp. PA 18702. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Prall, Kelly Marie can be contacted via phone (570) 825-2046.

Contact Information

Primary practice address
677 Kidder Street Wilkes-Barre Twp. PA 18702
Phone: (570) 825-2046
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X OA003966 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA056199 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1336576305
LBN Legal business name Prall, Kelly Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2013
Last updated May 31st, 2024 - about 7 months 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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