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Kelly Elizabeth Tanney, PA-C

Physician Assistant in Williamsport, PA. Individual provider (NPI-1).

NPI number1164072039
StatusActive
Last updated in NPPESApr 5, 2022

Details

NPI
1164072039
Entity type
Individual (NPI-1)
Name
Kelly Elizabeth Tanney
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Sep 12, 2019
Certification date
Apr 5, 2022
Last updated
Apr 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantMA061065PAYes

Practice location

1100 Grampian Blvd
Williamsport, PA 17701-1907

Phone 570-326-8005 · Fax 570-326-8006

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

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