Scully, Kathryn Lyn

Scully, Kathryn Lyn is an individual health care provider with primary practice located at 2060 N Pearl St , North East PA 16428-1999. 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. Scully, Kathryn Lyn can be contacted via phone (814) 877-7711.

Contact Information

Primary practice address
2060 N Pearl St North East PA 16428-1999
Phone: (814) 877-7711
Fax: (814) 877-7715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA061933 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA006347 Pennsylvania

Profile Details

NPI number 1861090359
LBN Legal business name Scully, Kathryn Lyn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2020
Last updated Feb 14th, 2023 - about last year

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 1861090359 NPPES
Pennsylvania MEDICAID 1098405700001

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