Thalacker, Kelly

Thalacker, Kelly is an individual health care provider with primary practice located at 41 Corporate Dr # 101 , Easton PA 18045-2670. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Thalacker, Kelly can be contacted via phone (610) 559-9330.

Contact Information

Primary practice address
41 Corporate Dr # 101 Easton PA 18045-2670
Phone: (610) 559-9330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP020519 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X SP020519 Pennsylvania

Profile Details

NPI number 1184263451
LBN Legal business name Thalacker, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2020
Last updated Apr 14th, 2020 - about 5 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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