| Doctor Name: | DR. KIMBERLY JOYCE KELLY |
| NPI Number: | 1861453052 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AU.D. |
| License Number: | AT055864 |
| Business Practice Address: | 100 Highlands Dr Suite 201 Lititz, PA - 175437693 |
| Business Phone Number: | 7176274327 |
| Business Fax Number: | 7176272690 |
| Mailing Address: | 325 Carol Lynn Dr, WILLOW STREET |
| State: | PA |
| Postal Code: | 175849364 |
| Phone Number: | 7174642144 |
| Fax Number: | 7174644255 |
| NPI Enumeration Date: | 03/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | AT055864 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |