Doctor Name: | KELLY DUCKETT |
NPI Number: | 1366659435 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | OT010964 |
Business Practice Address: | 6th Avenue & Spruce Street West Reading, PA - 19611 |
Business Phone Number: | 6109888827 |
Business Fax Number: | |
Mailing Address: | 145 Hospital Avenue, DUBOIS |
State: | PA |
Postal Code: | 15801 |
Phone Number: | 8143716172 |
Fax Number: | 8143713921 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 09/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | OT010964 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |