| Doctor Name: | MRS. KELLY ROCK |
| NPI Number: | 1164522942 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP009150 |
| Business Practice Address: | 300 S Jefferson St Kittanning, PA - 162012416 |
| Business Phone Number: | 7245432941 |
| Business Fax Number: | |
| Mailing Address: | 300 S Jefferson St, KITTANNING |
| State: | PA |
| Postal Code: | 162012416 |
| Phone Number: | 7245432941 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 01/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | SP009150 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |