Kelly Jo Wolfkill, FNP-BC
Nurse Practitioner, Family in Newport, PA. Individual provider (NPI-1).
NPI number1124761986
StatusActive
Last updated in NPPESDec 9, 2024
Details
- NPI
- 1124761986
- Entity type
- Individual (NPI-1)
- Name
- Kelly Jo Wolfkill
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2022
- Certification date
- Dec 9, 2024
- Last updated
- Dec 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP025240 | PA | Yes |
| 163W00000X | Registered Nurse | RN518066L | PA |
Practice location
300 Bretz Ct Ste 100Newport, PA 17074-8615
Phone 717-567-3174
Mailing address
300 Bretz Ct Ste 100Newport, PA 17074-8615
Phone 717-567-3174
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