| Doctor Name: | KAY KELLY |
| NPI Number: | 1215321823 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PN266468 |
| Business Practice Address: | 125 Maple Hollow Rd Duncansville, PA - 166357920 |
| Business Phone Number: | 8146932273 |
| Business Fax Number: | 8146931191 |
| Mailing Address: | Po Box 574, DUNCANSVILLE |
| State: | PA |
| Postal Code: | 166350574 |
| Phone Number: | 8146932273 |
| Fax Number: | 8146931191 |
| NPI Enumeration Date: | 03/20/2015 |
| NPI Last Update Date: | 03/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0600X |
| License Number: | PN266468 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |