| Doctor Name: | DR. KELLY LYNN SKOVIRA |
| NPI Number: | 1881989267 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP, DNP |
| License Number: | SP005173V |
| Business Practice Address: | 514 Arthur Ave Scottdale, PA - 156831507 |
| Business Phone Number: | 7248755637 |
| Business Fax Number: | |
| Mailing Address: | 514 Arthur Ave, SCOTTDALE |
| State: | PA |
| Postal Code: | 156831507 |
| Phone Number: | 7248755637 |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2011 |
| NPI Last Update Date: | 06/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | SP005173V |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |