Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MARIE PRALL, PA-C
ActiveKELLY MARIE PRALL, PA-C is a Physician Assistant healthcare provider located in WILKES-BARRE TWP., Pennsylvania. NPI 1336576305 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WILKES-BARRE TWP., PA
Registration Details
- NPI Number
- 1336576305
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2013 (12.881211161477 yrs)
- Last Updated
- May 31, 2024
- Licenses
-
OA003966 (PA)MA056199 (PA)
Practice Information
- Address
-
677 KIDDER STREETWILKES-BARRE TWP., PA, 18702Browse PA providers · Browse ZIP 18702
- Phone
- 5708252046
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.