Kelley M Davis BSAT, ATC

NPI 1104961069 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1104961069
Gender Female
Enumeration Date 02/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1677 ROUTE 65
ELLWOOD CITY PA, 16117-5217, US
Phone (724) 752-2716
Business Location
3322 3RD AVE
P.O. BOX 417
KOPPEL PA, 16136, US
Taxonomy Code 2255A2300X
License State Pennsylvania
License Number RT003474
Remove 1104961069 NPI Number

According to our database, Mrs. Kelley M Davis BSAT, ATC NPI is 1104961069, taxonomy code is 2255A2300X and license number is RT003474, license state is located at Pennsylvania. Kelley M Davis BSAT, ATC physically located at 1677 Route 65, Ellwood City PA, 16117-5217. NPI Number Kelley M Davis BSAT, ATC has the Individual type.

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1104961069 NPI number is provided on an as is basis without warranty of any kind. 1104961069 is maintained by the National Plan & Provider Enumeration System. The contents of Kelley M Davis BSAT, ATC are for informational purposes only.