Kelli Ann Gillott, MSN CRNP
Nurse Practitioner in Uniontown, PA. Individual provider (NPI-1).
NPI number1346200375
StatusActive
Last updated in NPPESMay 27, 2015
Details
- NPI
- 1346200375
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kelli Ann Gillott
- Credential
- MSN CRNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2006
- Last updated
- May 27, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP006394B | PA | Yes |
| 163W00000X | Registered Nurse | RN512040L | PA |
Other names
- Kelli Ann Koballa (Former Name)
Practice location
22 Mill StreetUniontown, PA 15401
Phone 724-437-1582 · Fax 724-437-1571
Mailing address
22 Mill StreetUniontown, PA 15401
Phone 724-437-1582 · Fax 724-437-8328
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All 14 Nurse Practitioner providers in Uniontown · All 1,656 providers in Uniontown
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